=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184335028
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNAH ELIZABETH KAHN PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2022
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 675 N SAINT CLAIR ST STE 20-100
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-5970
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-695-4360
-----------------------------------------------------
Fax | 312-695-1435
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 675 N SAINT CLAIR ST STE 20-100
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-5970
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-695-4360
-----------------------------------------------------
Fax | 312-695-1435
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 085011273
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 5601011986
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------