Individual
DR. MARK E KAPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36100 N BROOKSIDE DR STE 203, GURNEE, IL 60031-4573
(847) 855-1570
(847) 855-1890
Mailing address
9800 SHELBYVILLE RD, STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036077766
IL
207KA0200X
Allergy Physician
036077766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030004998
RR MEDICARE PROVIDER ID
IL
05
—
036077766 2
—
IL
01
—
04900809
BCBS PROVIDER ID
IL
Enumeration date
09/21/2006
Last updated
09/09/2022
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