MEDICARE: DR. PAUL H KRAMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	113713	FL
2	207RI0011X	Interventional Cardiology Physician	G44030	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487693685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL H KRAMER MD

Provider Business Mailing Address
First Line	:	304 WAINWRIGHT DR
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-1900
Country	:	US
Telephone Number	:	847-593-8460
Fax Number	:	224-235-4652

Provider Business Practice Location Address
First Line	:	12840 RIVERSIDE DR
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3327
Country	:	US
Telephone Number	:	323-686-3045
Fax Number	:	224-235-4652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	11/30/2018

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