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Individual

MRS. CHRISTINE ELIZABETH COSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP

Contact information

Practice address
1945 W. WILSON AVE, 4TH FLOOR, CHICAGO, IL 60640
(773) 736-6220
(773) 736-3941
Mailing address
1945 W. WILSON AVE, 4TH FLOOR, CHICAGO, IL 60640
(773) 736-6220
(773) 736-3941

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209012639
IL
363LP0200X
Pediatric Nurse Practitioner
209012639
IL

Other

Enumeration date
07/21/2011
Last updated
01/25/2019
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