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Individual

DR. ALICIA MARIE COHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1630 W DIVISION ST, CHICAGO, IL 60622-3808
(773) 276-2801
(773) 276-2803
Mailing address
1630 W DIVISION ST, CHICAGO, IL 60622-3808
(773) 276-2801
(773) 276-2803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632909
BLUE CROSS BLUE SHIELD ID
IL
01
6152151
CIGNA PROVIDER ID NUMBER
IL
01
7085576
AENTA PIN NUMBER
IL
Enumeration date
11/03/2006
Last updated
07/08/2007
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