Organization
JEFFREY KRAMER, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KRAMER M.D. (PRESIDENT)
(312) 567-2479
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, SUITE 817, CHICAGO, IL 60616-2315
(312) 567-2479
(312) 328-7970
Mailing address
PO BOX 5184, SKOKIE, IL 60076-5184
(847) 679-0629
(847) 679-0630
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621816
BLUE SHIELD
IL
05
—
036052917
—
IL
01
—
214234
MEDICARE GRP
IL
01
—
P00173714
RAILROAD MEDICARE
IL
Enumeration date
11/07/2006
Last updated
03/19/2020
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