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Individual
DR. RANDALL C. KAHAN
Active
Individual
DR. RANDALL C. KAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-078109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036078109
STATE LICENSE
IL
01
—
748450
PROVDER GROUP MEDICARE
IL
Enumeration date
10/20/2005
Last updated
08/31/2022
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