Active NPI
Greg S. Cohen, MD, LLC
- Gastroenterology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GREG S. COHEN, MD, LLC
- Practice address
- 676 N Saint Clair St
Suite 1525
Chicago, IL 60611-2927 - Phone
- (312) 695-4452
- Fax
- (312) 695-4453
- NPI assigned
- Feb 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Greg S Cohen, M.D.
- Title
- Physician Owner
- Phone
- (312) 695-4452
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
676 N Saint Clair St
Suite 1525
Chicago, IL 60611-2927
Mailing address
1730 Park St
Suite 101
Naperville, IL 60563-2688
Phone (630) 718-0200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1042343 | Greg S Cohen MD LLC | Certificate of waiver | Jun 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
676 N Saint Clair St
Ste 1750
Chicago, IL 60611
Phone (312) 649-9214
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJEBBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1669447348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073588752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 PARK ST",
"address_2": "SUITE 101",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632688",
"telephone_number": "630-718-0200",
"fax_number": "630-718-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 1525",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-695-4452",
"fax_number": "312-695-4453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREG S. COHEN, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "312-695-4452",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.