Traci a Kurtzer MD SC

Specialist · Evanston, IL

Organization Active NPI

NPI number 1053544759

Practice location

636 Church St Ste 217
Evanston, IL 60201-4578
Phone
(847) 328-0238

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NPI record

NPI
1053544759
Entity type
Organization (Type 2)
Enumeration date
August 27, 2009
Last updated
August 27, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036091007 IL

Authorized official

Name
Traci A Kurtzer, M.D
Title
Owner
Phone
(847) 328-0238

About Traci a Kurtzer MD SC

Traci a Kurtzer MD SC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 636 Church St Ste 217, Evanston, IL 60201-4578. The NPI number 1053544759 was assigned on August 27, 2009 and the record was last updated on August 27, 2009.

Traci a Kurtzer MD SC lists a license in the registry: #036091007 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Traci A Kurtzer, M.D, Owner.

Frequently asked questions

What is the NPI number of Traci a Kurtzer MD SC?

The NPI number is 1053544759.

What is the phone number of Traci a Kurtzer MD SC?

The phone number listed for the practice location is (847) 328-0238.

Where is Traci a Kurtzer MD SC located?

636 Church St Ste 217, Evanston, IL 60201-4578.

What is the taxonomy code for Traci a Kurtzer MD SC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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