Provider Demographics
NPI:1568522142
Name:KAFIN, WILLIAM JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOEL
Last Name:KAFIN
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 1:9700 KENTON AVE
Mailing Address - Street 2:STE. 302
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1259
Mailing Address - Country:US
Mailing Address - Phone:847-679-1210
Mailing Address - Fax:847-674-2096
Practice Address - Street 1:9700 KENTON AVE
Practice Address - Street 2:STE. 302
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1259
Practice Address - Country:US
Practice Address - Phone:847-679-1210
Practice Address - Fax:847-674-2096
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0031600074OtherBLUE SHIELD
IL0031600074OtherBLUE SHIELD
C45442Medicare UPIN