Individual
KELLY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S NORTHWEST HWY STE 104, PARK RIDGE, IL 60068-4262
(847) 823-8283
(847) 823-1099
Mailing address
350 S NORTHWEST HWY STE 104, PARK RIDGE, IL 60068-4262
(847) 823-8283
(847) 823-1099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011431
IL
Other
Enumeration date
05/06/2020
Last updated
02/17/2022
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