Doctor Name: | DR. MAURICE E KAUFMAN |
NPI Number: | 1275545790 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1 Westbrook Corporate Ctr Suite 300 Westchester, IL - 601545701 |
Business Phone Number: | 7087120305 |
Business Fax Number: | 7083434889 |
Mailing Address: | 621 S 21st Ave, MAYWOOD |
State: | IL |
Postal Code: | 601531475 |
Phone Number: | 7087120305 |
Fax Number: | 7083434889 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |