Individual
GREGORY LEWIS KATZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 834-0521
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.099456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036099456
STATE OF ILLINOIS
IL
Enumeration date
10/09/2006
Last updated
03/22/2018
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