MEDICARE: JAMIE L KAHN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1003628744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE L KAHN PA-C

Provider Business Mailing Address
First Line	:	3405 N ARLINGTON HEIGHTS RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1581
Country	:	US
Telephone Number	:	847-577-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 N ARLINGTON HEIGHTS RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1581
Country	:	US
Telephone Number	:	847-577-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/21/2025

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