Individual
DR. KOSIT PRIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 W LINCOLN ST, SUITE 200, BELLEVILLE, IL 62220-1902
(618) 233-2500
(618) 233-2520
Mailing address
379 OAK HILL DR, BELLEVILLE, IL 62223-2231
(618) 398-0231
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-047055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047055
—
IL
Enumeration date
06/20/2006
Last updated
07/13/2010
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