Angelique A Cohen, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036-103315 Issued in IL

Practice address

850 S. Milwaukee Avenue
Libertyville, IL 60048-3267

Phone

(849) 549-8200

Fax

(847) 549-8201

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Otolaryngology AssociatesGroup PAC ID 2860395795, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Nicholas H. Noyes Memorial Hospital

  • General Acute Care Hospital
  • Dansville, NY
  • NPI 1982625661

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Otolaryngology Associates

  • Otolaryngology Physician
  • Rochester, NY
  • NPI 1679518088
  Medicare reassignment Care Compare group NPD
• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  NPD (past)
• Suburban Otolaryngology,S.C.

  • Specialist
  • Berwyn, IL
  • NPI 1821204082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1205926359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S. MILWAUKEE AVENUE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227",
            "telephone_number": "849-549-8200",
            "fax_number": "847-549-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S. MILWAUKEE AVENUE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483267",
            "telephone_number": "849-549-8200",
            "fax_number": "847-549-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ANGELIQUE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-103315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103315",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Kathryn Clemens, LCSW
• Sarah Clift, CRNA
• Clinical Pathologists of Lake County, LLC
• Bryan Christopher Cloe, DDS
• Michael K Cochran, M.D.
• Dana Beth Cohen, LCSW
• Justin J. Cohen, MD
• Elizabeth Ann Cole, BSCPT
• Emmy Colecio
• Joy Lynn Coleman, M.D.

• Otolaryngology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.