Individual
DR. JERRY KOHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5TH. AVE & ROOSEVELT RD., HINES VA HOSPITAL, HINES, IL 60141
(708) 202-8387
(708) 202-2332
Mailing address
1100 OXFORD CT, OAKBROOK TERRACE, IL 60181-5249
(248) 561-5010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12084
MI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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