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Alison Carol Coogan

Surgery

Allopathic & Osteopathic Physicians

1750 W Harrison St Ste 775, Chicago, IL 60612-3825

PECOS Enrollment

This provider is enrolled in PECOS as ALISON COOGAN.

Based on the most recent information from CMS, provider Alison Carol Coogan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1275160145
Provider Type
Individual
Full Name
Coogan, Alison Carol
Gender
Female

Sole Proprietor
No
Enumeration Date
3/23/2020
Last Updated
7/8/2020

Contact Information

Practice Location

1750 W Harrison St Ste 775, Chicago, IL 60612-3825

(312) 942-7100

Unlisted Fax

Mailing Location

1750 W Harrison St Ste 775, Chicago, IL 60612-3825

(312) 942-7100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125.076552 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alison Carol Coogan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Alayoubi, Mhd Besher

Lester, Erica

Chalman, Mckenna Jay

Makiewicz, Kristine Urban

Pang, Caleb

Hollister, Hadyn Michael

Schimpke, Scott William

Lunt, Lilia Grace

Orsay, Charles Preston