MEDICARE: ANDREW KUHN

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	2085R0202X	Diagnostic Radiology Physician	57249	KY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2085R0202X	Diagnostic Radiology Physician	326830	NY

General Provider Information

NPI Number	:	1578097473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW KUHN

Provider Business Mailing Address
First Line	:	410 S MORGAN ST
Second Line	:	UNIT 513 C
City	:	CHICAGO
State	:	IL
Zip	:	60607-3529
Country	:	US
Telephone Number	:	312-683-6933
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 S MORGAN ST
Second Line	:	UNIT 513 C
City	:	CHICAGO
State	:	IL
Zip	:	60607-3529
Country	:	US
Telephone Number	:	312-683-6933
Fax Number	:

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

Provider Enumeration Date	:	04/18/2017
Last Update Date	:	01/27/2025

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