Cohen, Judith Ruth

Cohen, Judith Ruth is an individual health care provider with primary practice located at 6041 1/2 N Cicero Ave , Chicago IL 60646-4301. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cohen, Judith Ruth can be contacted via phone (773) 539-3509.

Contact Information

Primary practice address
6041 1/2 N Cicero Ave Chicago IL 60646-4301
Phone: (773) 539-3509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1720056419
LBN Legal business name Cohen, Judith Ruth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720056419 NPPES
Illinois Other 01627272 BLUE CROSS/BLUE SHIELD
Illinois Other 7313430 BLUE CROSS/BLUE SHIELD

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