Individual
COSME O LOZANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-8139
(815) 729-7790
(815) 725-8144
Mailing address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-8139
(815) 729-7790
(815) 725-8144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036082815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760647226
GROUP NPI
—
Enumeration date
07/22/2006
Last updated
02/04/2025
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