Individual
AMY LYNNE COCORIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
11411 W 183RD ST, SUITE B, ORLAND PARK, IL 60467-9450
(708) 478-1820
(708) 478-3316
Mailing address
11411 W 183RD ST, SUITE B, ORLAND PARK, IL 60467-9450
(708) 478-1820
(708) 478-3316
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932114
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/06/2007
Last updated
04/10/2008
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