Individual
DR. JOSEPH M COSCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
1S067 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3978
(630) 261-9500
(630) 261-9504
Mailing address
1S067 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3978
(630) 261-9500
(630) 261-9504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004563
—
IL
01
—
60010824
BC/BS
IL
Enumeration date
08/18/2005
Last updated
01/23/2019
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