Individual
DR. MEHMET KOCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 56, CHICAGO, IL 60612-3841
(312) 563-3064
Mailing address
1725 W HARRISON ST STE 56, CHICAGO, IL 60612-3841
(312) 563-3064
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036124519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007906261O
HUMANA
—
05
—
34390800
—
WI
Enumeration date
05/15/2006
Last updated
10/20/2021
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