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NPI Code Detail

MEDICARE: MARINA COTSILIS

MEDICARE: MARINA COTSILIS
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
11041C0700XClinical Social Worker149.030660IL

General Provider Information

NPI Number : 1235847393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA COTSILIS
Provider Business Mailing Address
First Line : 6516 177TH ST
Second Line :
City : TINLEY PARK
State : IL
Zip : 60477-4059
Country : US
Telephone Number : 708-712-0038
Fax Number :
Provider Business Practice Location Address
First Line : 1500 EISENHOWER LN STE 900
Second Line :
City : LISLE
State : IL
Zip : 60532-2135
Country : US
Telephone Number : 630-328-0118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2022
Last Update Date : 01/12/2026

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Directions to “ MARINA COTSILIS ” Practice Location

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