Provider Demographics
NPI:1982749263
Name:COHAN, ADAM K (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:K
Last Name:COHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:917 SHERWOOD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-2234
Mailing Address - Country:US
Mailing Address - Phone:847-232-3447
Mailing Address - Fax:224-678-0001
Practice Address - Street 1:917 SHERWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-2234
Practice Address - Country:US
Practice Address - Phone:847-232-3447
Practice Address - Fax:224-678-0001
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2024-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036107112207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4915052OtherIL BLUE CROSS BLUE SHIELD
IL036107112Medicaid
IL036107112OtherSTATE LICENSE