# GARY M KOHN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497104095
- **Authorized official:** DR. GARY MARSHALL KOHN M.D. (PRESIDENT)
- **Authorized official phone:** (847) 987-0221

## Contact information

- **Practice address:** 805 HARPER DR, ALGONQUIN, IL 60102-2000
- **Practice address phone:** (847) 987-0221
- **Mailing address:** 805 HARPER DR, ALGONQUIN, IL 60102-2000
- **Mailing address phone:** (847) 987-0221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | 036070061 | IL | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016