Individual
KRISTEN M COSGROVE COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6700
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036119666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036119666
ILLINOIS MEDICAL LICENSE
IL
05
—
036119666
—
IL
Enumeration date
04/03/2006
Last updated
11/22/2021
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