Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 50626-20 | WI |
NPI | 1013940782 |
---|---|
Provider Name | Dr. Ari J Kaz |
First Address | Des Plaines, IL 60016-2359 |
Second Address | Chicago, IL 60618-7702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 11/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I66157 | (02) |