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NPI Code Detail

MEDICARE: CHAD A KORT MD

MEDICARE: CHAD A KORT 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
1208600000XSurgery Physician35198WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972552503
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD A KORT MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 709 SPRING VALLEY RD
Second Line :
City : BURLINGTON
State : WI
Zip : 53105-7614
Country : US
Telephone Number : 262-434-5000
Fax Number : 262-434-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 07/22/2024

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