Provider Demographics
NPI:1366464281
Name:KANTER, LOUIS SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:SCOTT
Last Name:KANTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:565 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1857
Mailing Address - Country:US
Mailing Address - Phone:847-918-2400
Mailing Address - Fax:847-918-2415
Practice Address - Street 1:565 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 112
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1857
Practice Address - Country:US
Practice Address - Phone:847-918-2400
Practice Address - Fax:847-918-2415
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL03607352601207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04901150OtherBCBS
110053378OtherRR
110053378OtherRR
ID214046Medicare PIN