Individual
JOHN PHILLIP COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
559 STATE ST, HAMMOND, IN 46320-1533
(219) 937-3300
(219) 803-7252
Mailing address
10039 S DAMEN AVE, CHICAGO, IL 60643-2003
(312) 995-3603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003551
IN
Other
Enumeration date
07/31/2008
Last updated
08/31/2023
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