Provider Demographics
NPI:1528046224
Name:COHEN, MONIKA M (MD)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:M
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 N ARLINGTON HEIGHTS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4827
Mailing Address - Country:US
Mailing Address - Phone:847-618-1640
Mailing Address - Fax:630-618-1649
Practice Address - Street 1:1410 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:STE 200
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4822
Practice Address - Country:US
Practice Address - Phone:847-618-1640
Practice Address - Fax:847-618-1649
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036069451207R00000X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036069451Medicaid
C42276Medicare UPIN
ILL58121Medicare ID - Type Unspecified