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NPI Code Detail

MEDICARE: LORRI COBBINS, M.D.

MEDICARE: LORRI COBBINS, 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
1208200000XPlastic Surgery Physician036.129559IL

General Provider Information

NPI Number : 1770592842
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORRI COBBINS, M.D.
Provider Business Mailing Address
First Line : 601 W RANDOLPH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60661-2232
Country : US
Telephone Number : 312-258-9100
Fax Number : 312-258-1219
Provider Business Practice Location Address
First Line : 601 W RANDOLPH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60661-2232
Country : US
Telephone Number : 312-258-9100
Fax Number : 312-258-1219
Authorized Official
Title or Position : PLASTIC SURGEON
Name : DR. LORRI COBBINS
Credential : M.D.
Telephone Number : 312-258-9100
Provider Enumeration Date : 08/06/2006
Last Update Date : 08/30/2012

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