Provider Demographics
NPI:1235189937
Name:KARAMAN, WANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:WANDA
Middle Name:
Last Name:KARAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WANDA
Other - Middle Name:
Other - Last Name:KARAMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4801 W PETERSON AVE
Mailing Address - Street 2:SUITE #506
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5713
Mailing Address - Country:US
Mailing Address - Phone:773-777-5436
Mailing Address - Fax:773-777-7567
Practice Address - Street 1:4801 W PETERSON AVE
Practice Address - Street 2:SUITE #506
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5713
Practice Address - Country:US
Practice Address - Phone:773-777-5436
Practice Address - Fax:773-777-7567
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036097330208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics