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NPI Code Detail

MEDICARE: DR JOSEPH M COSCINO PC

MEDICARE: DR JOSEPH M COSCINO PC
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
1332B00000XDurable Medical Equipment & Medical Supplies016-004563IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160010824OTHERILBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699943266
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JOSEPH M COSCINO PC
Provider Business Mailing Address
First Line : 1S067 SUMMIT AVE
Second Line :
City : OAKBROOK TERRACE
State : IL
Zip : 60181-3978
Country : US
Telephone Number : 630-261-9500
Fax Number : 630-261-9504
Provider Business Practice Location Address
First Line : 1S067 SUMMIT AVE
Second Line :
City : OAKBROOK TERRACE
State : IL
Zip : 60181-3978
Country : US
Telephone Number : 630-261-9500
Fax Number : 630-261-9504
Authorized Official
Title or Position : OFFICE MANAGER
Name : ANDREA M COSCINO
Credential :
Telephone Number : 630-261-9500
Provider Enumeration Date : 02/15/2008
Last Update Date : 10/05/2010

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