Healthcare Provider Details

I. General information

NPI: 1578515482
Provider Name (Legal Business Name): STEVEN P COHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 E ERIE ST STE 1400
CHICAGO IL
60611-0005
US

IV. Provider business mailing address

259 E ERIE ST # F5-704
CHICAGO IL
60611-2987
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-2500
  • Fax: 312-695-7605
Mailing address:
  • Phone: 410-900-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD61930
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036169098
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD61930
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: