Healthcare Provider Details

I. General information

NPI: 1801119730
Provider Name (Legal Business Name): LAURA COHON SHAIKH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA COHON M.D.

II. Dates (important events)

Enumeration Date: 03/06/2010
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 N AIRLITE ST
ELGIN IL
60123-4912
US

IV. Provider business mailing address

2500 W HIGGINS RD STE 1165
HOFFMAN ESTATES IL
60169-2050
US

V. Phone/Fax

Practice location:
  • Phone: 847-289-5727
  • Fax: 847-888-5469
Mailing address:
  • Phone: 847-289-5727
  • Fax: 847-888-5469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberE-7175
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD447713
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036124875
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: