Joshua Benjamin Katz, MD | |
1801 W Taylor St # 1c, Chicago, IL 60612-4795 | |
(866) 600-2273 | |
Not Available |
Full Name | Joshua Benjamin Katz |
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Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1801 W Taylor St # 1c, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912355918 | NPI | - | NPPES |
125.068789 | Other | IL | DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION: TEMPORARY MEDICAL PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036.148567 (Illinois) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036.148567 (Illinois) | Primary |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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Joshua Benjamin Katz, MD 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 Ph: (773) 702-1150 | Joshua Benjamin Katz, MD 1801 W Taylor St # 1c, Chicago, IL 60612-4795 Ph: (866) 600-2273 |
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