Individual
DR. ABIGAIL MACIOLEK COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 GREENBRIAR DR, SPRINGFIELD, IL 62704-6425
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036-143445
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-143445
STATE LICENSE
IL
Enumeration date
06/25/2010
Last updated
05/22/2020
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