Provider Demographics
NPI:1437288388
Name:COHEN SPEECH AND FEEDING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COHEN SPEECH AND FEEDING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:847-867-5390
Mailing Address - Street 1:2720 DUNDEE RD
Mailing Address - Street 2:#226
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2609
Mailing Address - Country:US
Mailing Address - Phone:847-867-5390
Mailing Address - Fax:773-337-4709
Practice Address - Street 1:2720 DUNDEE RD
Practice Address - Street 2:#226
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2609
Practice Address - Country:US
Practice Address - Phone:847-867-5390
Practice Address - Fax:773-337-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-007011235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001634220OtherBLUE CROSS BLUE SHIELD IL