MEDICARE: DR. JEFFREY ALLAN KRAMER D.D.S.

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	1223G0001X	General Practice Dentistry	019016990	IL

General Provider Information

NPI Number	:	1154351641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALLAN KRAMER D.D.S.

Provider Business Mailing Address
First Line	:	4244 SUFFIELD CT
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1959
Country	:	US
Telephone Number	:	847-494-3767
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 W PETERSON AVE STE 316
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5726
Country	:	US
Telephone Number	:	773-685-9666
Fax Number	:

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	03/17/2024

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