Provider Demographics
NPI:1255320826
Name:KAHN, GERALYNN M (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:GERALYNN
Middle Name:M
Last Name:KAHN
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2703
Mailing Address - Country:US
Mailing Address - Phone:312-738-6170
Mailing Address - Fax:312-942-1554
Practice Address - Street 1:333 S ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2703
Practice Address - Country:US
Practice Address - Phone:312-738-6170
Practice Address - Fax:312-942-1554
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036062405207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036062405OtherLICENSE
IL036062405OtherLICENSE