Individual
DR. RAYMOND EUGENE KAZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 W. LINCOLN HWY, SUITE 200, OLYMPIA FIELDS, IL 60461-1936
(708) 481-4900
(708) 481-9440
Mailing address
2555 W. LINCOLN HWY, SUITE 200, OLYMPIA FIELDS, IL 60461-1936
(708) 481-4900
(708) 481-9440
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036063879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622409
BCBS ID
IL
01
—
036063879
ILL. LICENSE
IL
05
—
036063879
—
IL
01
—
0364268025
TAX ID
IL
01
—
660002682
RAILROAD MEDICARE
IL
Enumeration date
06/12/2006
Last updated
07/08/2007
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