Cohan, Todd G

Cohan, Todd G is an individual health care provider with primary practice located at 4160 Il Rte 83 Suite 107, Long Grove IL 60047. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cohan, Todd G can be contacted via phone (847) 955-9393.

Contact Information

Primary practice address
4160 Il Rte 83 Suite 107 Long Grove IL 60047
Phone: (847) 955-9393
Fax: (847) 955-9857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009356 Illinois

Profile Details

NPI number 1841244878
LBN Legal business name Cohan, Todd G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 25th, 2014 - about 12 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 1841244878 NPPES
Illinois Other 0001604768 BLUE CROSS BLUE SHIELD
Illinois Other P00005501 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 046009356 BLUE CROSS BLUE SHIELD

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