Individual
ANDREW ERIC KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1125 GREENLEAF AVE, WILMETTE, IL 60091-2708
(812) 219-9983
Mailing address
203 S SANGAMON ST APT 108, CHICAGO, IL 60607-3010
(812) 219-9983
(773) 782-1501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010334
IL
152W00000X
Optometrist
18003654A
IN
Other
Enumeration date
07/15/2010
Last updated
06/01/2020
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