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General NPI Number Information
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NPI Number | 1720005630
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Entity Type | Organization
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Legal Business Name | NEUROSCIENCES, LTD
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 122 S MICHIGAN AVE STE 1407
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City | CHICAGO
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State | IL
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Zip | 60603-6213
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Country | US
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Telephone | 312-443-0099
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Fax | 312-896-5174
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Provider Business Mailing Address
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Address Line | 4950 S CHICAGO BEACH DR C/O DR. KOHN
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City | CHICAGO
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State | IL
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Zip | 60615-3204
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Country | US
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Telephone | 312-479-7883
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Fax | 312-896-5174
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORMAN V KOHN
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Credential | MD
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Telephone | 312-443-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036055527
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036055527
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License Number State | IL
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