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NPI Code Detail

MEDICARE: YOGUNDA COCHRAN RN

MEDICARE: YOGUNDA COCHRAN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041416198IL

General Provider Information

NPI Number : 1811659055
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOGUNDA COCHRAN RN
Provider Business Mailing Address
First Line : 120 W 26TH ST
Second Line :
City : SOUTH CHICAGO HEIGHTS
State : IL
Zip : 60411-4141
Country : US
Telephone Number : 708-756-5200
Fax Number : 708-756-1136
Provider Business Practice Location Address
First Line : 120 W 26TH ST
Second Line :
City : SOUTH CHICAGO HEIGHTS
State : IL
Zip : 60411-4141
Country : US
Telephone Number : 708-756-5200
Fax Number : 708-704-1136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 10/05/2021

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Directions to “ YOGUNDA COCHRAN RN” Practice Location

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