Organization
GARY M KOHN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MARSHALL KOHN M.D. (PRESIDENT)
(847) 987-0221
Entity
Organization
Contact information
Practice address
805 HARPER DR, ALGONQUIN, IL 60102-2000
(847) 987-0221
Mailing address
805 HARPER DR, ALGONQUIN, IL 60102-2000
(847) 987-0221
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
036070061
IL
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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