Provider Demographics
NPI:1134149479
Name:COHS-MURRAY, KAREN J (CRNA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:J
Last Name:COHS-MURRAY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:COHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:68 S SERVICE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2354
Mailing Address - Country:US
Mailing Address - Phone:516-945-3156
Mailing Address - Fax:
Practice Address - Street 1:350 N WALL ST
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2901
Practice Address - Country:US
Practice Address - Phone:815-933-1671
Practice Address - Fax:815-936-6971
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041237569163W00000X
IL209003739367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL45804OtherAANA
ILK18744Medicare PIN
IL835010014Medicare PIN
IL45804OtherAANA
IL299360005Medicare PIN
IL210095009Medicare PIN