Provider Demographics
NPI:1144233321
Name:EDWARD H KAPLAN MD & ASSOCIATES LTD
Entity Type:Organization
Organization Name:EDWARD H KAPLAN MD & ASSOCIATES LTD
Other - Org Name:HEMATOLOGY/ONCOLOGY OF THE NORTH SHORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-675-3900
Mailing Address - Street 1:9631 GROSS POINT RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1264
Mailing Address - Country:US
Mailing Address - Phone:847-675-3900
Mailing Address - Fax:847-675-3930
Practice Address - Street 1:9631 GROSS POINT RD
Practice Address - Street 2:SUITE 10
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1264
Practice Address - Country:US
Practice Address - Phone:847-675-3900
Practice Address - Fax:847-675-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4438030001Medicare NSC
IL212274Medicare ID - Type UnspecifiedCOOK COUNTY
IL212275Medicare ID - Type UnspecifiedLAKE COUNTY