Organization Active NPI

Cohen-Lewe Chicago Center for Osteopathic Medicine

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1639590540
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036130877 Issued in IL
Legal business name
COHEN-LEWE CHICAGO CENTER FOR OSTEOPATHIC MEDICINE
Practice address
111 N Wabash Ave
Ste. 1818
Chicago, IL 60602-1903
Phone
(847) 830-4866
NPI assigned
Dec 18, 2013
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Adam Cohen-Lewe, D.O.
Title
Sole Proprietor
Phone
(847) 830-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036130877 IL Primary

Addresses

Primary practice location

111 N Wabash Ave
Ste. 1818
Chicago, IL 60602-1903

Mailing address

611 Dartmouth LN
New Lenox, IL 60451-3817
Phone (847) 830-4866

Other names 1

  • Chicago Center for Osteopathic Medicine Other name

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1818
Chicago, IL 60602
Phone (312) 782-9153

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1639590540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DARTMOUTH LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513817",
            "telephone_number": "847-830-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "STE. 1818",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "847-830-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN-LEWE CHICAGO CENTER FOR OSTEOPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "COHEN-LEWE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "847-830-4866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036130877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Center for Osteopathic Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.