Provider Demographics
NPI:1093458200
Name:KURT MOHNING, PLLC
Entity Type:Organization
Organization Name:KURT MOHNING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:MOHNING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-319-4325
Mailing Address - Street 1:4633 N WESTERN AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2181
Mailing Address - Country:US
Mailing Address - Phone:773-319-4325
Mailing Address - Fax:773-439-5683
Practice Address - Street 1:4633 N WESTERN AVE STE 211
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2181
Practice Address - Country:US
Practice Address - Phone:773-319-4325
Practice Address - Fax:773-439-5683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health