Individual provider Active NPI

Joshua Kahn, MD

  • Child & Adolescent Psychiatry Physician
  • Northbrook, IL
National Provider Identifier
1013075829
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
IL036082084 Issued in IL
Practice address
450 Skokie Blvd
Suite 504
Northbrook, IL 60062-7913
Phone
(847) 509-8732
Fax
(847) 586-0242
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL036082084 IL
Child & Adolescent Psychiatry Physician 2084P0804X IL036082084 IL Primary

Addresses

Primary practice location

450 Skokie Blvd
Suite 504
Northbrook, IL 60062-7913

Mailing address

450 Skokie Blvd
Suite 504
Northbrook, IL 60062-7913
Phone (847) 509-8732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
IL036082084ILMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1013075829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SKOKIE BLVD",
            "address_2": "SUITE 504",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627913",
            "telephone_number": "847-509-8732",
            "fax_number": "847-586-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SKOKIE BLVD",
            "address_2": "SUITE 504",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627913",
            "telephone_number": "847-509-8732",
            "fax_number": "847-586-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "IL036082084",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "IL036082084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.