Provider Demographics
NPI:1336379098
Name:COCCO, ROBAAB (MD)
Entity Type:Individual
Prefix:
First Name:ROBAAB
Middle Name:
Last Name:COCCO
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 1:800 AUSTIN ST
Mailing Address - Street 2:STE 354 EAST TOWER
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3439
Mailing Address - Country:US
Mailing Address - Phone:847-491-6890
Mailing Address - Fax:847-491-0274
Practice Address - Street 1:800 AUSTIN ST
Practice Address - Street 2:STE 354 EAST TOWER
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3439
Practice Address - Country:US
Practice Address - Phone:847-491-6890
Practice Address - Fax:847-492-0274
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10034323207V00000X
IL036132632207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology