Individual
CARL A. KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 W 203RD ST STE 202, OLYMPIA FIELDS, IL 60461-1185
(708) 679-2660
(708) 503-3860
Mailing address
3691 RUTGER ST., PROVIDER ENROLLMENT, ST. LOUIS, MO 63110
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036130356
IL
207RP1001X
Pulmonary Disease Physician
114228
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209678804
—
MO
Enumeration date
10/05/2006
Last updated
03/23/2018
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