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NPI Code Detail

MEDICARE: BRUCE R KADEN MD

MEDICARE: BRUCE R KADEN 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
1207RH0003XHematology & Oncology Physician036056642IL

Other Identifiers

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

General Provider Information

NPI Number : 1720075179
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE R KADEN MD
Provider Business Mailing Address
First Line : 25070 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1250
Country : US
Telephone Number : 847-585-7000
Fax Number : 847-240-0622
Provider Business Practice Location Address
First Line : 8915 W GOLF RD
Second Line :
City : NILES
State : IL
Zip : 60714-5905
Country : US
Telephone Number : 847-827-9060
Fax Number : 847-827-7196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 10/10/2013

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Directions to “ BRUCE R KADEN MD” Practice Location

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