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NPI Code Detail

MEDICARE: ANNA M KRAMER

MEDICARE:   ANNA M KRAMER
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
1363L00000XNurse Practitioner209.019321IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1209.019321OTHERILSTATE OF ILLINOIS

General Provider Information

NPI Number : 1285249524
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA M KRAMER
Provider Business Mailing Address
First Line : 10433 S KOSTNER AVE
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-4813
Country : US
Telephone Number : 773-507-5410
Fax Number :
Provider Business Practice Location Address
First Line : 5571 W 95TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2356
Country : US
Telephone Number : 708-422-2519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 09/14/2020

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Directions to “ ANNA M KRAMER ” Practice Location

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