Provider Demographics
NPI:1407843816
Name:KAPLAN, ABE P (MD)
Entity Type:Individual
Prefix:DR
First Name:ABE
Middle Name:P
Last Name:KAPLAN
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 1:1120-C W LAKE COOK RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089
Mailing Address - Country:US
Mailing Address - Phone:847-459-6060
Mailing Address - Fax:847-459-9797
Practice Address - Street 1:1120 W LAKE COOK RD STE C
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1970
Practice Address - Country:US
Practice Address - Phone:847-459-6060
Practice Address - Fax:847-459-9797
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036106360207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL375000OtherGROUP MEDICARE PTAN
IL375000OtherGROUP MEDICARE PTAN
ILF400142102Medicare PIN
ILH69410Medicare UPIN