Cochran, Abigail Maciolek

Cochran, Abigail Maciolek is an individual health care provider with primary practice located at 2901 Greenbriar Dr , Springfield IL 62704-6425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Cochran, Abigail Maciolek can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
2901 Greenbriar Dr Springfield IL 62704-6425
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036-143445 Illinois

Profile Details

NPI number 1265743140
LBN Legal business name Cochran, Abigail Maciolek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2010
Last updated May 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265743140 NPPES
Illinois Other 036-143445 STATE LICENSE

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