Healthcare Provider Details

I. General information

NPI: 1881625754
Provider Name (Legal Business Name): MARC S KARLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E HURON ST SUITE 10100
CHICAGO IL
60611-3039
US

IV. Provider business mailing address

201 E HURON ST SUITE 10100
CHICAGO IL
60611-3039
US

V. Phone/Fax

Practice location:
  • Phone: 312-944-2424
  • Fax: 312-944-6989
Mailing address:
  • Phone: 312-944-2424
  • Fax: 312-944-6989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: