Cohen, Judith Ruth
Cohen, Judith Ruth is an individual health care provider with primary practice located at 6041 1/2 N Cicero Ave , Chicago IL 60646-4301. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cohen, Judith Ruth can be contacted via phone (773) 539-3509.Contact Information
Primary practice address
6041 1/2 N Cicero Ave
Chicago IL 60646-4301
Phone: (773) 539-3509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1720056419 |
|---|---|
| LBN Legal business name | Cohen, Judith Ruth |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720056419 | NPPES |
| Illinois | Other | 01627272 | BLUE CROSS/BLUE SHIELD |
| Illinois | Other | 7313430 | BLUE CROSS/BLUE SHIELD |
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