Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARVIN COKLOW
Active Sole ProprietorMARVIN COKLOW is a Point of Service healthcare provider located in CHICAGO, Illinois. NPI 1710612478 is currently active in the NPPES registry. Verify at CMS.
Point of Service · CHICAGO, IL
Registration Details
- NPI Number
- 1710612478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2022 (4.1023564855823 yrs)
- Last Updated
- Jul 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
5030 N MARINE DRCHICAGO, IL, 606403267Browse IL providers · Browse ZIP 60640
- Phone
- 7735977698
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.