Healthcare Provider Details

I. General information

NPI: 1467372532
Provider Name (Legal Business Name): LIBBY EDEN GREENBERG COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6639 N KEDZIE AVE
CHICAGO IL
60645-4161
US

IV. Provider business mailing address

230 W MONROE ST STE 1100
CHICAGO IL
60606-5170
US

V. Phone/Fax

Practice location:
  • Phone: 855-275-5237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: