Basic Information
Provider Information
NPI: 1336235563
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAJMAN
FirstName: DAVID
MiddleName: MAXIMILIAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2650 RIDGE AVE ROOM 1223
Address2: EVANSTON HOSPITAL
City: EVANSTON
State: IL
PostalCode: 602011718
CountryCode: US
TelephoneNumber: 8475702040
FaxNumber: 8477335315
Practice Location
Address1: 9650 GROSS POINT RD.
Address2: SUITE 4900
City: SKOKIE
State: IL
PostalCode: 600761214
CountryCode: US
TelephoneNumber: 8478643278
FaxNumber: 8476761727
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 10/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X036088615ILY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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