Look up the most recent NPI and PECOS records

Robert Allen Kaufman

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT KAUFMAN.

Based on the most recent information from CMS, provider Robert Allen Kaufman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1548571953
Provider Type
Individual
Full Name
Kaufman, Robert Allen
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/30/2010
Last Updated
6/10/2015

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-1084

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-1084

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036.132288 Illinois

Robert Allen Kaufman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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