Individual
MR. JAVIER P COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4745 W BELMONT AVE, CHICAGO, IL 60641-4410
(773) 481-0211
(773) 481-0242
Mailing address
4745 W BELMONT AVE, CHICAGO, IL 60641-4410
(773) 481-0211
(773) 481-0242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037534
IL
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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