Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 036 094113 | IL |
NPI | 1093745366 |
---|---|
Provider Name | Dr. David Philip Cohen |
First Address | Chicago, IL 60654-3431 |
Second Address | Chicago, IL 60654-3431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 27/01/2016 |