Provider Demographics
NPI:1740288737
Name:BARON-KUHN, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:BARON-KUHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53098-3304
Mailing Address - Country:US
Mailing Address - Phone:920-262-4825
Mailing Address - Fax:920-206-3025
Practice Address - Street 1:128 NAPERVILLE RD
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1034
Practice Address - Country:US
Practice Address - Phone:630-881-5665
Practice Address - Fax:630-665-3868
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070840207V00000X
WI46778207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI10826OtherTOUCHPOINT ID
WI34561900Medicaid
ILD16528Medicare UPIN
WI34561900Medicaid