MEDICARE: DR. NORMAN V KOHN MD

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	2084P0800X	Psychiatry Physician	36055527	IL
2	2084N0400X	Neurology Physician	36055527	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1326045089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN V KOHN MD

Provider Business Mailing Address
First Line	:	122 S MICHIGAN AVE STE 1407
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-6213
Country	:	US
Telephone Number	:	312-443-0099
Fax Number	:	312-896-5174

Provider Business Practice Location Address
First Line	:	122 S MICHIGAN AVE
Second Line	:	SUITE 1300
City	:	CHICAGO
State	:	IL
Zip	:	60603-6191
Country	:	US
Telephone Number	:	312-443-0099
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	06/01/2025

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