MEDICARE: DR. LEONARD KAPLAN 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	207RI0200X	Infectious Disease Physician	036-076528	IL

General Provider Information

NPI Number	:	1386630390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD KAPLAN MD

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE
Second Line	:	BURCH 124
City	:	EVANSTON
State	:	IL
Zip	:	60201-1718
Country	:	US
Telephone Number	:	847-570-1502
Fax Number	:	847-733-5331

Provider Business Practice Location Address
First Line	:	2150 PFINGSTEN RD
Second Line	:	SUITE B100
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1361
Country	:	US
Telephone Number	:	847-657-5959
Fax Number	:	847-657-5764

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	10/13/2020

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