Active NPI
Fawn Cohen, M.D.
- Diagnostic Radiology Physician
- Palos Heights, IL
National Provider Identifier
1780852822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 11800 Southwest Hwy
Palos Heights, IL 60463-1029 - Phone
- (708) 799-3871
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | IL | Primary |
Addresses
Primary practice location
11800 Southwest Hwy
Palos Heights, IL 60463-1029
Mailing address
1300 Elder Rd
Homewood, IL 60430-2424
Phone (708) 799-3871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Fields Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Horizon Healthcare Associates SC
- Family Medicine Physician
- Flossmoor, IL
- NPI 1336170844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1780852822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 ELDER RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302424",
"telephone_number": "708-799-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SOUTHWEST HWY",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631029",
"telephone_number": "708-799-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "FAWN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.