MEDICARE: DR. STEVEN HARRISON COBB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	26311	AZ

General Provider Information

NPI Number	:	1760462139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN HARRISON COBB M.D.

Provider Business Mailing Address
First Line	:	1481 MEADOWLARK DRIVE
Second Line	:
City	:	LONG GROVE
State	:	IL
Zip	:	60047-5140
Country	:	US
Telephone Number	:	602-245-4529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 MEADOWLARK DRIVE
Second Line	:
City	:	LONG GROVE
State	:	IL
Zip	:	60047-5140
Country	:	US
Telephone Number	:	602-245-4529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	08/28/2024

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