Provider Demographics
NPI:1972611234
Name:COHRAN, VALERIA C (MD)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:C
Last Name:COHRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2300 CHILDREN'S PLAZA, BOX 65
Mailing Address - Street 2:CHILDREN'S MEMORIAL HOSPITAL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3394
Mailing Address - Country:US
Mailing Address - Phone:773-975-8729
Mailing Address - Fax:773-880-4036
Practice Address - Street 1:2300 CHILDREN'S PLAZA, BOX 65
Practice Address - Street 2:CHILDREN'S MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3394
Practice Address - Country:US
Practice Address - Phone:773-975-8729
Practice Address - Fax:773-880-4036
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK13612Medicare UPIN