Individual
BRUCE W KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 E. GROVE STREET, RANTOUL, IL 61866
(217) 893-7700
(217) 893-7801
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036070339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
IL
01
—
080042481
RAILROAD
IL
Enumeration date
07/13/2006
Last updated
05/26/2015
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