Provider Demographics
NPI:1790770618
Name:KAPLAN, WILLIAM E (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
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:PO BOX 87618, DEPT, 10243
Mailing Address - Street 2:CLAIMS REMITTANCE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60680-0618
Mailing Address - Country:US
Mailing Address - Phone:312-788-2021
Mailing Address - Fax:312-846-1165
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:BOX 114
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-6415
Practice Address - Fax:312-227-9409
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0969122086S0120X
IL0360500752088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1627123OtherBCBS PROVIDER ID
IL10046300AOtherMANAGED HEALTHCARE SRVCS
IL036050075Medicaid
NE10025071700Medicaid
IN100462300AMedicaid
IL036050075Medicaid
IN100462300AMedicaid