Healthcare Provider Details

I. General information

NPI: 1710902424
Provider Name (Legal Business Name): DONALD T. KUHLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22285 N PEPPER RD SUITE 401
LAKE BARRINGTON IL
60010-2538
US

IV. Provider business mailing address

22285 N PEPPER RD SUITE 401
LAKE BARRINGTON IL
60010-2538
US

V. Phone/Fax

Practice location:
  • Phone: 847-882-6604
  • Fax: 847-882-6228
Mailing address:
  • Phone: 847-882-6604
  • Fax: 847-882-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036073241
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: