Healthcare Provider Details

I. General information

NPI: 1417693276
Provider Name (Legal Business Name): MIKA COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S MICHIGAN AVE STE 2300
CHICAGO IL
60603-3330
US

IV. Provider business mailing address

8 S MICHIGAN AVE STE 2300
CHICAGO IL
60603-3330
US

V. Phone/Fax

Practice location:
  • Phone: 773-980-9499
  • Fax:
Mailing address:
  • Phone: 773-980-9499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166.012268
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: