MEDICARE: ALVIN MONNIE KANTER MD

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	207X00000X	Orthopaedic Surgery Physician	36-040252	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02232224	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1326030560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVIN MONNIE KANTER MD

Provider Business Mailing Address
First Line	:	360 W BUTTERFIELD RD
Second Line	:	SUITE 160
City	:	ELMHURST
State	:	IL
Zip	:	60126-5068
Country	:	US
Telephone Number	:	630-782-9600
Fax Number	:	630-782-1643

Provider Business Practice Location Address
First Line	:	360 W BUTTERFIELD RD
Second Line	:	SUITE 160
City	:	ELMHURST
State	:	IL
Zip	:	60126-5068
Country	:	US
Telephone Number	:	630-782-9600
Fax Number	:	630-782-1643

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/14/2008

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