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Organization
MERIDIAN MEDICAL ASSOCIATES, SC
Active
Organization
MERIDIAN MEDICAL ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL COHEN M.D. (PRESIDENT)
(815) 725-2121
Entity
Organization
Contact information
Practice address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 725-2121
(815) 741-6303
Mailing address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 999-3000
(805) 730-6343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
07/23/2006
Last updated
06/30/2011
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