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Organization

ANGELIQUE COHEN M.D.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELIQUE A. COHEN M.D. (PHYSICIAN-OWNER)
(847) 549-8200
Entity
Organization

Contact information

Practice address
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL 60048-3227
(847) 549-8200
(847) 549-8201
Mailing address
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL 60048-3227
(847) 549-8200
(847) 549-8201

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036103315
IL

Other

Enumeration date
12/02/2006
Last updated
03/08/2012
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