Organization
LAURA M COZZI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA M COZZI M.D. (OWNER)
(708) 450-5748
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 301, MELROSE PARK, IL 60160-1634
(708) 450-5748
(708) 681-3255
Mailing address
675 W NORTH AVE, SUITE 301, MELROSE PARK, IL 60160-1634
(708) 450-5748
(708) 681-3255
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036079795
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079795
—
IL
Enumeration date
04/09/2007
Last updated
05/18/2012
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