Organization
MIDWEST ASSOCIATES IN NEUROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO D KOHN MD (OWNER / PRESIDENT)
(708) 524-2440
Entity
Organization
Contact information
Practice address
1 ERIE CT, SUITE 7020, OAK PARK, IL 60302-2566
(708) 524-2440
(708) 524-2463
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633648
BCBS PROVIDER ID
IL
01
—
CJ9863
RAILROAD MEDICARE
IL
Enumeration date
11/01/2006
Last updated
01/22/2008
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