Individual
DR. ELIZABETH ANNE KIRACOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
618 W FULTON ST, CHICAGO, IL 60661-1144
(847) 766-0829
(847) 892-4992
Mailing address
618 W FULTON ST, CHICAGO, IL 60661-1144
(847) 766-0829
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-141403
IL
207R00000X
Internal Medicine Physician
57.021857
OH
Other
Enumeration date
06/06/2012
Last updated
11/23/2020
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