Individual
DR. JUSTIN J. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 HOLLISTER DR STE 107, LIBERTYVILLE, IL 60048-5265
(847) 295-0010
(847) 549-7815
Mailing address
1800 HOLLISTER DR STE 107, LIBERTYVILLE, IL 60048-5265
(847) 295-0010
(847) 549-7815
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036122113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00907612
RAILROAD MEDICARE
—
Enumeration date
12/27/2007
Last updated
12/08/2021
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