Healthcare Provider Details

I. General information

NPI: 1326045089
Provider Name (Legal Business Name): NORMAN V KOHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S MICHIGAN AVE SUITE 1300
CHICAGO IL
60603-6191
US

IV. Provider business mailing address

122 S MICHIGAN AVE STE 1407
CHICAGO IL
60603-6213
US

V. Phone/Fax

Practice location:
  • Phone: 312-443-0099
  • Fax:
Mailing address:
  • Phone: 312-443-0099
  • Fax: 312-896-5174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number36055527
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number36055527
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: