Individual provider Active NPI

Laurence Scott Kahn, DC

  • Chiropractor
  • Wilmette, IL
National Provider Identifier
1760412324
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009292 Issued in IL
Practice address
1200 Central Ave
Suite 380
Wilmette, IL 60091-2683
Phone
(847) 251-1120
Fax
(847) 251-1120
NPI assigned
Jul 3, 2006
Last updated
Mar 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009292 IL Primary

Addresses

Primary practice location

1200 Central Ave
Suite 380
Wilmette, IL 60091-2683

Mailing address

1200 Central Ave
Suite 380
Wilmette, IL 60091-2683
Phone (847) 251-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009292ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1760412324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL AVE",
            "address_2": "SUITE 380",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912683",
            "telephone_number": "847-251-1120",
            "fax_number": "847-251-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL AVE",
            "address_2": "SUITE 380",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912683",
            "telephone_number": "847-251-1120",
            "fax_number": "847-251-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "LAURENCE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.