MEDICARE: DR. GUY P. COZZI PHARMD

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
1	183500000X	Pharmacist		IL

General Provider Information

NPI Number	:	1083605232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUY P. COZZI PHARMD

Provider Business Mailing Address
First Line	:	519 W BURNING TREE LN
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-2032
Country	:	US
Telephone Number	:	847-962-6250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 LAKE COOK RD
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5238
Country	:	US
Telephone Number	:	847-964-6250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/08/2007

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