Individual
LAWRENCE M KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2456 N WESTERN AVE, CHICAGO, IL 60647-2012
(773) 235-2020
(773) 235-2037
Mailing address
2456 N WESTERN AVE, CHICAGO, IL 60647-2012
(773) 235-2020
(773) 235-2037
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-074319
IL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
036074319
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074319
—
IL
01
—
31603018
BLUE CROSS ID
—
Enumeration date
05/05/2006
Last updated
10/12/2018
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