Active NPI
Cohen-Lewe Chicago Center for Osteopathic Medicine
- Medical Specialty Clinic/Center
- Chicago, IL
National Provider Identifier
1639590540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 036130877
- 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, 2013
- 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. Adam Cohen-Lewe, D.O.
- Title
- Sole Proprietor
- Phone
- (847) 830-4866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.