Organization
CARDIOMEDICAL ASSOC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY MILTON COHEN M.D. (PRESIDENT)
(773) 929-1900
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 100, CHICAGO, IL 60657-6156
(773) 929-1900
Mailing address
2800 N SHERIDAN RD, SUITE 100, CHICAGO, IL 60657-6156
(773) 929-1900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615145
BLUE CROSS BLUE SHIELD
IL
01
—
1821081480
NPI
IL
01
—
CF2118
MEDICARE TRAVELERS
IL
01
—
L09450
PIN
IL
Enumeration date
04/17/2006
Last updated
11/06/2007
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