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Individual

DR. MIMIS COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
820 S WOOD ST, SUITE 515 CSN, CHICAGO, IL 60612-4325
(312) 996-9313
(312) 413-0495

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
IL

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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