Individual
DR. GARY I KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6770
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-098702
IL
208000000X
Pediatrics Physician
036-098702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-098702-1
—
IL
Enumeration date
08/10/2005
Last updated
10/05/2011
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