Individual
DR. HARRY M COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
(773) 880-9723
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036079903
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161514566
BLUE CROSS BLUE SHIELD IL
IL
05
—
036079903
—
IL
01
—
1063476893
NPI
IL
01
—
CF2118
MEDICARE TRAVELERS
IL
01
—
L09450
PIN
IL
Enumeration date
08/29/2005
Last updated
06/13/2022
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