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Individual

ALLEN M PUTTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 N WABASH AVE, STE 1722, CHICAGO, IL 60602-1903
(312) 372-2256
(312) 372-1762
Mailing address
111 N WABASH AVE, STE 1722, CHICAGO, IL 60602-1903
(312) 372-2256
(312) 372-1762

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1615355
BCBS PROVIDER NUMBER
IL
Enumeration date
07/28/2005
Last updated
12/26/2007
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