Healthcare Provider Details

I. General information

NPI: 1174866917
Provider Name (Legal Business Name): JOSEPH KARAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2013
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 S WOLCOTT AVE ROOM E-270
CHICAGO IL
60612-3748
US

IV. Provider business mailing address

835 S WOLCOTT AVE RM E-270
CHICAGO IL
60612-3748
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-9858
  • Fax: 312-996-9025
Mailing address:
  • Phone: 312-996-7161
  • Fax: 312-996-9025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036150734
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number036150734
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: