MEDICARE: DR. ISABELLE VON KOHORN MD, PHD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D70742	MD
2	2080N0001X	Neonatal-Perinatal Medicine Physician	29365	MS
3	2080N0001X	Neonatal-Perinatal Medicine Physician	ME152873	FL
4	208000000X	Pediatrics Physician	ME152873	FL
5	208000000X	Pediatrics Physician	29365	MS
6	2080N0001X	Neonatal-Perinatal Medicine Physician	329398	LA
7	2080N0001X	Neonatal-Perinatal Medicine Physician	D70742	MD
8	208000000X	Pediatrics Physician	A91179	CA
9	208000000X	Pediatrics Physician	329398	LA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1063438927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISABELLE VON KOHORN MD, PHD

Provider Business Mailing Address
First Line	:	3506 PATTERSON ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20015-2558
Country	:	US
Telephone Number	:	203-535-9982
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 SANGAMORE RD STE N100
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-2558
Country	:	US
Telephone Number	:	914-919-9200
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/09/2025

990 GRAND CANYON PKWY , SUITE 418
HOFFMAN ESTATES, IL
60169-1737

Practice Phone: 331-472-8802
Practice Fax: 331-472-8803