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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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