Dr Gary I Kaufman, MD | |
1501 S California Ave, Chicago, IL 60608-1732 | |
(773) 257-6770 | |
Not Available |
Full Name | Dr Gary I Kaufman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 1501 S California Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447252457 | NPI | - | NPPES |
036-098702-1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-098702 (Illinois) | Primary |
208000000X | Pediatrics | 036-098702 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mt Sinai Hospital Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount Sinai Community Foundation | 5991600405 | 207 |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary I Kaufman, MD 3537 Paysphere Cir, Chicago, IL 60674-0035 Ph: (708) 786-2900 | Dr Gary I Kaufman, MD 1501 S California Ave, Chicago, IL 60608-1732 Ph: (773) 257-6770 |
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