Individual
ERICA JILL COHEN MAJOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2440
Mailing address
1350 W BYRON ST UNIT 2, CHICAGO, IL 60613-6321
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
036134746
IL
207UN0901X
Nuclear Cardiology Physician
036134746
IL
207UN0902X
Nuclear Imaging & Therapy Physician
036134746
IL
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
036134746
IL
Other
Enumeration date
05/18/2010
Last updated
10/26/2021
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