Individual
MATTHEW KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1615 N CONVENT ST, BOURBONNAIS, IL 60914-1081
(815) 602-8253
Mailing address
1615 N CONVENT ST, BOURBONNAIS, IL 60914-1081
(815) 602-8253
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036127874
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127874
ILLINOIS STATE LICENSE
IL
Enumeration date
07/10/2009
Last updated
07/29/2020
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