Provider Demographics
NPI:1639263197
Name:KOHN GROUP, LTD
Entity Type:Organization
Organization Name:KOHN GROUP, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:GOHEEN
Authorized Official - Last Name:KOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:815-344-0020
Mailing Address - Street 1:5404 W. ELM STREET
Mailing Address - Street 2:SUITE Q
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-4052
Mailing Address - Country:US
Mailing Address - Phone:815-344-0020
Mailing Address - Fax:815-344-0076
Practice Address - Street 1:5404 W. ELM STREET
Practice Address - Street 2:SUITE Q
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4052
Practice Address - Country:US
Practice Address - Phone:815-344-0020
Practice Address - Fax:815-344-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL00303608454204D00000X
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherTAX ID