Provider Demographics
NPI:1194000307
Name:COHEN, APRIL
Entity Type:Individual
Prefix:MISS
First Name:APRIL
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 DOGWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1861
Mailing Address - Country:US
Mailing Address - Phone:708-898-7076
Mailing Address - Fax:
Practice Address - Street 1:825 W FITZHENRY CT
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1114
Practice Address - Country:US
Practice Address - Phone:708-755-4636
Practice Address - Fax:708-755-4690
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILC500-0047-5867222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist