Cohen, Lisa Brooke

Cohen, Lisa Brooke is an sole proprietor health care provider with primary practice located at 5012 W Lawrence Ave , Chicago IL 60630-3822. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Cohen, Lisa Brooke can be contacted via phone (773) 282-3377.

Contact Information

Primary practice address
5012 W Lawrence Ave Chicago IL 60630-3822
Phone: (773) 282-3377
Fax: (773) 205-4439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005305 Illinois

Profile Details

NPI number 1760644124
LBN Legal business name Cohen, Lisa Brooke
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2008
Last updated Jan 26th, 2011 - about 13 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 1760644124 NPPES
Illinois Other 01600112 BCBS

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