Provider Demographics
NPI:1952740615
Name:COHN, ELSA ELENA
Entity Type:Individual
Prefix:MS
First Name:ELSA
Middle Name:ELENA
Last Name:COHN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ELSA
Other - Middle Name:
Other - Last Name:COHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 SHERIDAN CT
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-2102
Mailing Address - Country:US
Mailing Address - Phone:847-835-3222
Mailing Address - Fax:
Practice Address - Street 1:120 SHERIDAN CT
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-2102
Practice Address - Country:US
Practice Address - Phone:847-835-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter