Marvin Coklow
Marvin Coklow is a Point of Service in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5030 N Marine DrChicago, IL 60640-3267
Phone: (773) 597-7698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X |
|---|
Record details
| NPI number | 1710612478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | January 24, 2021 |
| Mailing address | 5030 N Marine Dr, Chicago, IL 60640-3267 |
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