Healthcare Provider Details

I. General information

NPI: 1376465906
Provider Name (Legal Business Name): CARI D. COHEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 GOLF RD STE 400
SKOKIE IL
60076-1242
US

IV. Provider business mailing address

4711 GOLF RD STE 400
SKOKIE IL
60076-1242
US

V. Phone/Fax

Practice location:
  • Phone: 847-421-4717
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.022781
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: