Provider Demographics
NPI:1922123462
Name:KAPLAN, DAWN (OD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1600 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2631
Mailing Address - Country:US
Mailing Address - Phone:773-220-6620
Mailing Address - Fax:
Practice Address - Street 1:25901 N RIVERWOODS RD
Practice Address - Street 2:
Practice Address - City:METTAWA
Practice Address - State:IL
Practice Address - Zip Code:60045-3403
Practice Address - Country:US
Practice Address - Phone:847-235-1313
Practice Address - Fax:847-235-1312
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-008728152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist