Individual
JEFFREY KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621816
BLUE CROSS BLUE SHIELD ID
IL
01
—
036052917
LICENSE #
IL
05
—
036052917
—
IL
01
—
214234
MEDICARE GROUP #
IL
01
—
P00173714
RAILROAD MEDICARE ID
IL
Enumeration date
06/28/2006
Last updated
03/19/2020
Update your record
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