Individual
MARIE C COGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1700 LUTHER LN STE 1170, PARK RIDGE, IL 60068-1270
(844) 376-3876
(847) 723-2041
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3846
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
209-023749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209023749
IDFPR
IL
Enumeration date
01/06/2022
Last updated
06/09/2023
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