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Contact Information

JACK A COHEN, MD
71 W 156TH ST
STE 400
HARVEY, IL60426-4265
 Phone: 708-596-8710
 Fax: 708-596-9820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JACK A COHEN · (Male)

NPI # 1205836947
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2005
Last updated 02/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036088028
  • IL Medicaid 036088028
  • IL Other 180033410 RRMC
Hospital affiliation(s)
  • ADVOCATE CONDELL MEDICAL CENTER - (Acute Care)
    801 S MILWAUKEE AVE
    LIBERTYVILLE, IL 60048
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
  • INGALLS MEMORIAL HOSPITAL - (Acute Care)
    ONE INGALLS DRIVE
    HARVEY, IL 60426
  • RUSH UNIVERSITY MEDICAL CENTER - (Acute Care)
    1653 WEST CONGRESS PARKWAY
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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