Provider Demographics
NPI:1326596339
Name:ALLA KAHN, DDS, LTD
Entity Type:Organization
Organization Name:ALLA KAHN, DDS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-782-1200
Mailing Address - Street 1:935 W GLEN FLORA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-1899
Mailing Address - Country:US
Mailing Address - Phone:847-782-1200
Mailing Address - Fax:
Practice Address - Street 1:935 W GLEN FLORA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-1899
Practice Address - Country:US
Practice Address - Phone:847-782-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty