Healthcare Provider Details

I. General information

NPI: 1770947665
Provider Name (Legal Business Name): BENJAMIN D KUHNS MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 E TOUHY AVE STE 450
DES PLAINES IL
60018-2748
US

IV. Provider business mailing address

999 E TOUHY AVE STE 450
DES PLAINES IL
60018-2748
US

V. Phone/Fax

Practice location:
  • Phone: 630-920-2323
  • Fax:
Mailing address:
  • Phone: 630-920-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number2345467
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036.163387
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: