Individual
NOAH COOPER LANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036151056
IL
208M00000X
Hospitalist Physician
Primary
036151056
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
02/03/2020
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