Individual provider Active NPI

Adam K Cohan, M.D.

  • Obstetrics & Gynecology Physician
  • Lake Bluff, IL
National Provider Identifier
1982749263
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036107112 Issued in IL
Practice address
917 Sherwood Dr Ste 200
Lake Bluff, IL 60044-2234
Phone
(847) 232-3447
Fax
(224) 678-0001
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036107112 IL Primary

Addresses

Primary practice location

917 Sherwood Dr Ste 200
Lake Bluff, IL 60044-2234

Mailing address

917 Sherwood Dr Ste 200
Lake Bluff, IL 60044-2234
Phone (847) 232-3447

Other practice location 1

900 N Westmoreland Rd
Suite #207
Lake Forest, IL 60045-1674
Phone (847) 234-9110

Other practice location 2

1475 E Belvidere Rd Ste 316
Grayslake, IL 60030-2016
Phone (847) 278-4059

Other practice location 3

1170 E Belvidere Rd Ste 203
Grayslake, IL 60030-2076
Phone (847) 278-4059

Other identifiers 3

IdentifierTypeStateIssuer
4915052OtherILIL BLUE CROSS BLUE SHIELD
036107112MedicaidIL
036107112OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000907 IL Practitioner - Obstetrics/Gynecology 5597895086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Together Women'S Health Medical Group of Illinois, PLLCGroup PAC ID 8325195506, 26 clinicians

Practice addresses (Care Compare)

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

870 N Milwaukee Ave
Vernon Hills, IL 60061-1521

917 Sherwood Dr
Suite 200
Lake Bluff, IL 60044-2234
Phone (847) 232-3447

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036107112ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group of Illinois, PLLC CurrentSince Feb 19, 2024 Accepting new patients
North Shore Associates in Gynecology and Obstetrics, S.C. Past Accepting new patients

Locations

900 N Kingsbury St
Ste 130N
Chicago, IL 60610
Phone (312) 775-1100

1170 E Belvidere Rd
Ste 203
Grayslake, IL 60030
Phone (847) 278-4059

1475 E Belvidere Rd
Ste 316
Grayslake, IL 60030
Phone (847) 234-9110

917 Sherwood Dr
Ste 200
Lake Bluff, IL 60044
Phone (847) 232-3447

Interoperability endpoints

  • Direct secure messaging: adam.cohan.1@29023.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1982749263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SHERWOOD DR STE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442234",
            "telephone_number": "847-232-3447",
            "fax_number": "224-678-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SHERWOOD DR STE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442234",
            "telephone_number": "847-232-3447",
            "fax_number": "224-678-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Westmoreland Rd",
            "address_2": "Suite #207",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451674",
            "country_code": "US",
            "telephone_number": "847-234-9110",
            "fax_number": "847-234-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 E Belvidere Rd Ste 316",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302016",
            "country_code": "US",
            "telephone_number": "847-278-4059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 E Belvidere Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302076",
            "country_code": "US",
            "telephone_number": "847-278-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHAN",
        "first_name": "ADAM",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036107112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BLUE CROSS BLUE SHIELD",
            "identifier": "4915052",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107112",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036107112",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.