NPIMap

Organization Active NPI

Angelique Cohen M.D.S.C.

  • Otolaryngology Physician
  • Libertyville, IL
National Provider Identifier
1780752055
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036103315 Issued in IL
Legal business name
ANGELIQUE COHEN M.D.S.C.
Practice address
850 S. Milwaukee Avenue
Libertyville, IL 60048-3227
Phone
(847) 549-8200
Fax
(847) 549-8201
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Dr. Angelique A. Cohen, M.D.
Title
Physician-Owner
Phone
(847) 549-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 036103315 IL Primary

Addresses

Primary practice location

850 S. Milwaukee Avenue
Libertyville, IL 60048-3227

Mailing address

850 S. Milwaukee Avenue
Libertyville, IL 60048-3227
Phone (847) 549-8200

National Provider Directory

National Provider Directory

Locations

Dept 4631
Carol Stream, IL 60122

1170 E Belvidere Rd
Ste 204
Grayslake, IL 60030
Phone (847) 231-5500

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1780752055",
    "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": "847-549-8200",
            "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": "600483227",
            "telephone_number": "847-549-8200",
            "fax_number": "847-549-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIQUE COHEN M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "847-549-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036103315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.