Individual
FAWN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11800 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1029
(708) 799-3871
Mailing address
1300 ELDER RD, HOMEWOOD, IL 60430-2424
(708) 799-3871
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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