Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 036062226 | IL |
NPI | 1013924489 |
---|---|
Provider Name | Thomas F Cozzi |
First Address | Arlington Heights, IL 60004-4830 |
Second Address | Arlington Heights, IL 60004-4830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 03/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036062226 | (05) | IL |
IL5507 | (02) | IL |