Individual
THOMAS MICHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3250 N LINCOLN AVE, CHICAGO, IL 60657-1117
(773) 935-2020
Mailing address
1909 W ROSCOE ST UNIT 3, CHICAGO, IL 60657-1029
(847) 287-8061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011335
IL
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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