Individual
MICHAEL KAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5450
(630) 352-5499
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5450
(630) 352-5499
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036075142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075142
—
IL
01
—
206147062
MEDICARE PTAN
IL
01
—
P00974083
MEDICARE RAILROAD PTAN
IL
Enumeration date
10/05/2005
Last updated
01/22/2013
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