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Individual

ALISON CAROL COOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201-1700
(847) 570-2560
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.178743
IL
208600000X
Surgery Physician
125.076552
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2020
Last updated
06/18/2026
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