Dr. Abigail Maciolek Cochran
Plastic and Reconstructive Surgery
2901 Greenbriar Dr
Springfield
, Illinois 62704-6425
Dr. Abigail Maciolek Cochran
Plastic and Reconstructive Surgery
2901 Greenbriar Dr
Springfield
, Illinois 62704-6425
(217) 528-7541
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Abigail Maciolek Cochran
- 1025 S 6th St
- Springfield, IL
- Zip : 62703-2403
- Phone : (217) 528-7541
Second Address
- Dr. Abigail Maciolek Cochran
- 2901 Greenbriar Dr
- Springfield, IL
- Zip : 62704-6425
- Phone : (217) 528-7541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 036-143445 | IL |
National Provider Identifier
| NPI | 1265743140 |
|---|---|
| Provider Name | Dr. Abigail Maciolek Cochran |
| First Address | Springfield, IL 62703-2403 |
| Second Address | Springfield, IL 62704-6425 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2010 |
| Last Update Date | 22/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-143445 | STATE LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.