Organization
JORGE KURGANOFF, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE KURGANOFF M.D. (PRESIDENT)
(847) 733-7370
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, SUITE 202 WEST TOWER, EVANSTON, IL 60202-3439
(847) 733-7370
(847) 733-7975
Mailing address
800 AUSTIN ST, SUITE 202 WEST TOWER, EVANSTON, IL 60202-3439
(847) 733-7370
(847) 733-7975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623073
BLUE SHIELD
IL
Enumeration date
12/22/2006
Last updated
08/22/2020
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