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General NPI Number Information
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NPI Number | 1427477710
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Entity Type | Individual
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Provider Name | ADAM KAHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE # MC3079
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 773-834-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 180 HARVESTER DR STE 110
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City | BURR RIDGE
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State | IL
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Zip | 60527-6686
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Country | US
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Telephone | 773-702-1150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 125073552
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License Number State | IL
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