Provider Demographics
NPI:1538105440
Name:KAPLAN, JULIUS (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3546 NORTH NORA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-3617
Mailing Address - Country:US
Mailing Address - Phone:773-736-1123
Mailing Address - Fax:773-736-1185
Practice Address - Street 1:3546 N NORA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-3617
Practice Address - Country:US
Practice Address - Phone:773-736-1123
Practice Address - Fax:773-736-1185
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036079562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036079562Medicaid
IL557230Medicare ID - Type Unspecified
ILE34784Medicare UPIN