Individual
EMILY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613
(773) 496-4433
Mailing address
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611-2595
(312) 754-9404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006753
IL
363AM0700X
Medical Physician Assistant
085006753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215414446
—
IL
Enumeration date
07/20/2018
Last updated
04/02/2026
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