Andrew Eric Kohn, OD | |
1125 Greenleaf Ave, Wilmette, IL 60091-2708 | |
(812) 219-9983 | |
Not Available |
Full Name | Andrew Eric Kohn |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 15 Years |
Location | 1125 Greenleaf Ave, Wilmette, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831402130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003654A (Indiana) | Secondary |
152W00000X | Optometrist | 046010334 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wilmette Eye Care Llc | 5698017580 | 2 |
Provider Name | Matthew W Gifford Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013353184 PECOS PAC ID: 6800858499 Enrollment ID: O20041027000026 |
Provider Name | Wilmette Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215433818 PECOS PAC ID: 5698017580 Enrollment ID: O20190424002147 |
Mailing Address | Practice Location Address |
---|---|
Andrew Eric Kohn, OD 203 S Sangamon St Apt 108, Chicago, IL 60607-3010 Ph: (812) 219-9983 | Andrew Eric Kohn, OD 1125 Greenleaf Ave, Wilmette, IL 60091-2708 Ph: (812) 219-9983 |
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