Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | IL | |
N | 207YS0123X | Facial Plastic Surgeon | IL |
NPI | 1881625754 |
---|---|
Provider Name | Dr. Marc S Karlan |
First Address | Chicago, IL 60611-3039 |
Second Address | Chicago, IL 60611-3039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |