Arnold Cohn
Individual provider Active NPI Orthopaedic Surgery Physician · Bannockburn, IL
NPI 1669425864 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1669425864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036-053260 (IL)
- Practice address
- 2101 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1836 - Phone
- (847) 914-9096
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-053260 | IL | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036-053260 | IL | Yes |
Addresses
Primary practice location
2101 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1836
Mailing address
900 Rand Rd Ste 300
Attn: Raquel Leon
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-053260 | Medicaid | IL |
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All providers in Bannockburn, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.