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General NPI Number Information
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NPI Number | 1801851753
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Entity Type | Individual
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Provider Name | JONATHAN M. KAUFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 27790 W HWY 22 STE 22
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 847-381-6700
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Fax | 847-381-6828
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Provider Business Mailing Address
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Address Line | 912 NORTHWEST HIGHWAY SUITE G-7
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City | FOX RIVER GROVE
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State | IL
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Zip | 60021
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Country | US
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Telephone | 847-381-6700
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Fax | 847-381-6828
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036074412
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-074412
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License Number State | IL
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