MEDICARE: LAURA M COZZI

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	207Y00000X	Otolaryngology Physician	036079795	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982701017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA M COZZI

Provider Business Mailing Address
First Line	:	4201 WINFIELD RD FL 4
Second Line	:
City	:	WARRENVILLE
State	:	IL
Zip	:	60555-4025
Country	:	US
Telephone Number	:	331-221-6377
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 S YORK ST STE 4180
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-5630
Country	:	US
Telephone Number	:	331-221-9004
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/29/2021

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Directions to “ LAURA M COZZI ” Practice Location

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