Provider Demographics
NPI:1831362946
Name:COHEN-LEWE, ADAM S (DO)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:S
Last Name:COHEN-LEWE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E LINCOLN HWY
Mailing Address - Street 2:STE 251
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1975
Mailing Address - Country:US
Mailing Address - Phone:815-485-2541
Mailing Address - Fax:815-463-0378
Practice Address - Street 1:1329 N WOLF RD
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1500
Practice Address - Country:US
Practice Address - Phone:847-803-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine