Individual
ANGELIQUE A COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL 60048-3267
(849) 549-8200
(847) 549-8201
Mailing address
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL 60048-3227
(849) 549-8200
(847) 549-8201
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-103315
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103315
—
IL
Enumeration date
10/12/2006
Last updated
03/08/2012
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