Healthcare Provider Details

I. General information

NPI: 1881787505
Provider Name (Legal Business Name): CHARLES BADER KAHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 WAUKEGAN RD
GLENVIEW IL
60025-1774
US

IV. Provider business mailing address

2500 INDIGO LN UNIT 248E
GLENVIEW IL
60026-8303
US

V. Phone/Fax

Practice location:
  • Phone: 954-328-2882
  • Fax:
Mailing address:
  • Phone: 954-328-2882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME0012327
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: