Sarah R Koscica
Family Doctor
1701 W Garden St
Peoria
, Illinois 61605
Sarah R Koscica
Family Doctor
1701 W Garden St
Peoria
, Illinois 61605
(309) 681-8620
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Sarah R Koscica
- 2214 N University Ave
- Peoria, IL
- Zip : 61604
- Fax : (309) 681-8620
- Phone : (309) 680-7600
Second Address
- Sarah R Koscica
- 1701 W Garden St
- Peoria, IL
- Zip : 61605
- Fax : (309) 680-7686
- Phone : (309) 680-7600
Reviews
FAQs
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Is Sarah R Koscica a sole practitioner?
Is Sarah R Koscica accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036120457 | IL |
National Provider Identifier
| NPI | 1003814625 |
|---|---|
| Provider Name | Sarah R Koscica |
| First Address | Peoria, IL 61604 |
| Second Address | Peoria, IL 61605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 11/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000271872 | ANTHEM MEDICAID (01) | OH |
| 000000371872 | ANTHEM COMMERICAL (01) | OH |
| 01513 | PARAMOUNT (01) | OH |
| 130662 | NATIONWIDE (01) | OH |
| 133726 | (02) | OH |
| 142205 | CARE CHOICES (01) | OH |
| 142205 | PRIORITY HEALTH (01) | OH |
| 2581102 | (05) | OH |
| 3303596 | CIGNA (01) | OH |
| 344428256 | BEECH STREET (01) | CA |
| 344428256 | EMERALD (01) | OH |
| 344428256 | FIRST HEALTH (01) | OH |
| 344428256065 | CARESOURCES (01) | OH |
| 4753670 | (05) | MI |
| 4763660 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.