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NPI Code Detail

MEDICARE: MELISSA COSME MS, CCC-SLP

MEDICARE:   MELISSA  COSME  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistIL

General Provider Information

NPI Number : 1164591061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA COSME MS, CCC-SLP
Provider Business Mailing Address
First Line : 1322 S WABASH AVE APT F
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2509
Country : US
Telephone Number : 708-280-7249
Fax Number : 312-447-0469
Provider Business Practice Location Address
First Line : 1322 S WABASH AVE APT F
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2509
Country : US
Telephone Number : 708-280-7249
Fax Number : 312-447-0469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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Directions to “ MELISSA COSME MS, CCC-SLP” Practice Location

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