Cohen, Justin J.
Cohen, Justin J. is an individual health care provider with primary practice located at 1800 Hollister Dr Ste 107 , Libertyville IL 60048-5265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cohen, Justin J. can be contacted via phone (847) 295-0010.Contact Information
Primary practice address
1800 Hollister Dr Ste 107
Libertyville IL 60048-5265
Phone: (847) 295-0010
Fax: (847) 549-7815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 036122113 | Illinois |
Profile Details
NPI number | 1700060704 |
---|---|
LBN Legal business name | Cohen, Justin J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2007 |
Last updated | Dec 8th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700060704 | NPPES |
Other | P00907612 | RAILROAD MEDICARE |
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