Individual
DR. DOUGLAS JOHN KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, DEPARTMENT OF MEDICINE, MAYWOOD, IL 60153-3328
(312) 520-2293
Mailing address
720 W RANDOLPH ST APT 905, CHICAGO, IL 60661-2170
(312) 520-2293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125054048
IL
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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