Organization
ALLEN M. PUTTERMAN, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN M PUTTERMAN M.D. (PRESIDENT)
(312) 372-2256
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, SUITE 1722, CHICAGO, IL 60602-1903
(312) 372-2256
(312) 372-1762
Mailing address
111 N WABASH AVE, SUITE 1722, CHICAGO, IL 60602-1903
(312) 372-2256
(312) 372-1762
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615355
BCBD PROVIDER NUMBER
IL
Enumeration date
10/11/2007
Last updated
12/26/2007
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