Individual
DR. GREGG R COHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3045 THEODORE ST, JOLIET, IL 60435-5191
(815) 577-5223
(815) 436-7103
Mailing address
3045 THEODORE ST, JOLIET, IL 60435-5191
(815) 577-5223
(815) 436-7103
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919564
BCBS
IL
01
—
P00045417
RAILROAD MEDICARE
IL
Enumeration date
06/23/2005
Last updated
09/27/2007
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