Individual
IAN D COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N WESTMORELAND ROAD SUITE 102, LAKE FOREST, IL 60045-1673
(847) 735-8550
(847) 582-2198
Mailing address
800 N WESTMORELAND ROAD SUITE 102, LAKE FOREST, IL 60045-1673
(847) 735-8550
(847) 582-2198
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036086745
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5931543
AETNA
IL
Enumeration date
05/31/2006
Last updated
09/11/2012
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