Marvin Coklow

NPI #1710612478 in Chicago, Illinois

Provider Information

NPI Number
1710612478
Entity Type
Individual
Name
Marvin Coklow
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Point of Service
Enumeration Date
Jul 18, 2022
Last Updated
Jul 18, 2022

Practice Location

Address
5030 N MARINE DR
ZIP Code
60640-3267
Phone
(773) 597-7698

Specialties & Taxonomy Codes

Specialty
Point of Service

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