Kohn, Ricardo D
Kohn, Ricardo D is an individual health care provider with primary practice located at 750 E Terra Cotta Ave Ste A , Crystal Lake IL 60014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kohn, Ricardo D can be contacted via phone (815) 455-1800.Contact Information
Primary practice address
750 E Terra Cotta Ave Ste A
Crystal Lake IL 60014
Phone: (815) 455-1800
Fax: (815) 455-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-087378 | Illinois |
Profile Details
| NPI number | 1295720886 |
|---|---|
| LBN Legal business name | Kohn, Ricardo D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Oct 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295720886 | NPPES |
| Illinois | Other | 01633648 | BCBS PROVIDER ID |
| Illinois | MEDICAID | 036087378 | BCBS PROVIDER ID |
| Illinois | Other | 036087378 | BCBS PROVIDER ID |
| Illinois | Other | P00057296 | BCBS PROVIDER ID |
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