Provider Demographics
NPI:1225607658
Name:COHEN, SIMCHA (APNP)
Entity type:Individual
Prefix:MRS
First Name:SIMCHA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 OLD ORCHARD RD STE 50
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1027
Mailing Address - Country:US
Mailing Address - Phone:773-461-0220
Mailing Address - Fax:773-250-7873
Practice Address - Street 1:5250 OLD ORCHARD RD STE 50
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-4460
Practice Address - Country:US
Practice Address - Phone:773-461-0220
Practice Address - Fax:773-250-7873
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2021051855363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health