Gregg R Cohan, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Practice address

3045 Theodore St
Joliet, IL 60435-5191

Phone

(815) 577-5223

Fax

(815) 436-7103

NPI assigned

Jun 23, 2005

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• UC Regents

  • Infectious Disease Physician
  • Orange, CA
  • NPI 1760430847
  Medicare reassignment NPD
• UC Regents

  • Pulmonary Disease Physician
  • Orange, CA
  • NPI 1629026729
  NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1316943442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 THEODORE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355191",
            "telephone_number": "815-577-5223",
            "fax_number": "815-436-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 THEODORE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355191",
            "telephone_number": "815-577-5223",
            "fax_number": "815-436-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHAN",
        "first_name": "GREGG",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00045417",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09919564",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Marie Cline, ATC
• Clinica Su Red
• Clinical Associates in Medicine, LLC
• Lisa Coburn, LCSW
• Robert D Coffee
• Jessica Cohen, L.P.C.
• Melanie W Cohen, PHARMD
• Michael Cohen, M.D.
• Bryon Troy Coker, D.C.
• Cynthia Cole, LMFT

• Pulmonary Disease Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.