DR. MICHAEL RYAN COHEN (NPI# 1649778929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649778929 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RYAN COHEN |
| Credential | M.D. |
| Practice Address |
3420 Illinois St Ste 1007 Great Lakes IL 60088-3161 |
| Practice Telephone | 9787616678 |
| Mailing Telephone | 9787616678 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2020-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101267640 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 John Paul Jones Cir, Portsmouth, VA 237082111 | 7579535000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718075 | Michael Andrew Cohen | Nurse Practitioner | 1392 Lowrie Ave, South San Francisco, CA 94080-6402 | 2020-01-02 |
| 1821631490 | Michael Hilliard Cohen | Chiropractor | 1536 Kirkwood Highway, Newark, DE 19711-5716 | 2019-10-25 |
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1528484102 | Michael Cohen | Student in an Organized Health Care Education/Training Program | 150 Huntington Ave Apt Nh8, Boston, MA 02115-6721 | 2014-03-06 |
| 1144586769 | Michael Cohen | Pharmacist | 263 Wildwood Cir, Deerfield Beach, FL 33442-1433 | 2012-04-09 |
| 1851671929 | Michael Cohen | Specialist | 104 Floradale Rd, Liverpool, NY 13088-5622 | 2011-08-22 |
| 1023316833 | Michael Cohen | Psychologist | 125 E Broadway, Apt. 605, Long Beach, NY 11561-4101 | 2011-03-02 |
| 1164725263 | Michael Lawrence Cohen | Dentist | 166 Lakemont Park Blvd, Altoona, PA 16602-5900 | 2010-12-10 |
| 1235383530 | Michael B Cohen | Physical Therapist | 38 W Penn St, Long Beach, NY 11561-4005 | 2008-11-13 |
| 1790933034 | Michael Cohen | Plastic Surgery | 4700 Point Fosdick Dr Nw Ste 208, Gig Harbor, WA 98335 | 2008-08-28 |
| Street Address |
3420 ILLINOIS ST STE 1007 |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431504 | Deborah Jeanne Galen | General Practice | 2410 Sampson St, Fisher Clinic, Bldg 237, Great Lakes, IL 60088-2942 | 2005-10-20 |
| 1013004928 | Karen Leone | General Practice | 3001 6th St, Suite A, Great Lakes, IL 60088-2833 | 2006-10-10 |
| 1235197385 | Richard Alan Strnad | General Practice | 2410 Sampson St, Great Lakes, IL 60088-2942 | 2006-05-01 |
| 1437110095 | Nemesia Figueras Artates | General Practice | 3420 Illinois St, Great Lakes, IL 60088-3120 | 2006-03-31 |
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|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on DR. MICHAEL RYAN COHEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.