Individual
DR. RICHARD ALAN KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
475 W 55TH ST, SUITE 208, COUNTRYSIDE, IL 60525-3564
(708) 579-0488
(708) 579-0611
Mailing address
475 W 55TH ST, SUITE 208, COUNTRYSIDE, IL 60525-3564
(708) 579-0488
(708) 579-0611
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021-001106
IL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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