# PHILLIP PAUL COZZI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477202943
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 125.079613 | IL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | DO210012958 | DC | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | H0107070 | MD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/22/2022
- **Last updated:** 09/21/2026
