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NPI Code Detail

MEDICARE: DOUGLAS L COTSAMIRE MD

MEDICARE: DOUGLAS L COTSAMIRE MD
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
1207RR0500XRheumatology Physician036113109IL

General Provider Information

NPI Number : 1164487658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS L COTSAMIRE MD
Provider Business Mailing Address
First Line : 4201 WINFIELD RD FL 4
Second Line :
City : WARRENVILLE
State : IL
Zip : 60555-4025
Country : US
Telephone Number : 312-216-3773
Fax Number : 331-221-2357
Provider Business Practice Location Address
First Line : 1200 S YORK ST STE 2000
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5634
Country : US
Telephone Number : 331-221-9199
Fax Number : 331-221-2774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 06/14/2021

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Directions to “ DOUGLAS L COTSAMIRE MD” Practice Location

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