MEDICARE: MR. KURT MATTHEW MOHNING LCSW

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	1041C0700X	Clinical Social Worker	150-010018	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	150-010018	OTHER	IL	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1548483480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KURT MATTHEW MOHNING LCSW

Provider Business Mailing Address
First Line	:	2417 W MORSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-4611
Country	:	US
Telephone Number	:	773-319-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 N RAVENSWOOD AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8038
Country	:	US
Telephone Number	:	773-319-4325
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	11/18/2025

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