Coklow, Marvin

Coklow, Marvin is an sole proprietor health care provider with primary practice located at 5030 N Marine Dr , Chicago IL 60640-3267. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Coklow, Marvin can be contacted via phone (773) 597-7698.

Contact Information

Primary practice address
5030 N Marine Dr Chicago IL 60640-3267
Phone: (773) 597-7698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1710612478
LBN Legal business name Coklow, Marvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2022
Last updated Jul 18th, 2022 - about 2 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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