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MARVIN COKLOW
NPI 1710612478
Point of Service in Chicago, IL

Active since July 18, 2022
5030 N MARINE DR, CHICAGO, IL 60640(773) 597-7698 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marvin Coklow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN COKLOW (NPI 1710612478) is an individual point of service provider in Chicago, Illinois and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1710612478
Entity TypeIndividualMale
Primary Taxonomy305S00000X
Provider Legal NameMARVIN COKLOW
Location Address5030 N MARINE DRChicago, IL 60640-3267
Mailing Address5030 N Marine DrChicago, IL 60640-3267 · (773) 597-7698
Phone(773) 597-7698
Sole ProprietorYes
Enumeration DateJuly 18, 2022
NPPES CertifiedJanuary 24, 2021
✔ NPI 1710612478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
5030 N MARINE DR, Chicago, IL 60640
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADRIANA VERONICA BREBAN
Dentist
5030 N MARINE DR, #2201
CHICAGO, IL 60640
Cook County (773) 506-0650
LUCIANA E. BURCA, DDS, PC
Dentist (General Practice)
5030 N MARINE DR, SUITE 304
CHICAGO, IL 60640
Cook County (773) 447-1021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Coklow's NPI number?

The NPI number for Marvin Coklow is 1710612478. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Marvin Coklow located?

Marvin Coklow practices at 5030 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 597-7698.

What is Marvin Coklow's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Marvin Coklow was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.