Healthcare Provider Details

I. General information

NPI: 1063442556
Provider Name (Legal Business Name): JANET MARIE KUHN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W PETERSON AVE #517
CHICAGO IL
60659-3324
US

IV. Provider business mailing address

3525 W PETERSON AVE #517
CHICAGO IL
60659-3324
US

V. Phone/Fax

Practice location:
  • Phone: 773-588-2100
  • Fax: 773-588-5891
Mailing address:
  • Phone: 773-588-2100
  • Fax: 773-588-5891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1916758
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: