MEDICARE: KRAMER-KUHN, D.D.S., LTD.

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		IL

General Provider Information

NPI Number	:	1598816985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRAMER-KUHN, D.D.S., LTD.

Provider Business Mailing Address
First Line	:	3525 W PETERSON AVE
Second Line	:	#517
City	:	CHICAGO
State	:	IL
Zip	:	60659-3324
Country	:	US
Telephone Number	:	773-588-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 W PETERSON AVE
Second Line	:	#517
City	:	CHICAGO
State	:	IL
Zip	:	60659-3324
Country	:	US
Telephone Number	:	773-588-2100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY KRAMER
Credential	:	D.D.S.
Telephone Number	:	773-588-2100

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	08/22/2020

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