Organization
DR JOSEPH M COSCINO PC
Active
Other names
Premier Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M COSCINO (OFFICE MANAGER)
(630) 261-9500
Entity
Organization
Contact information
Practice address
1S067 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3978
(630) 261-9500
(630) 261-9504
Mailing address
1S067 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3978
(630) 261-9500
(630) 261-9504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
016-004563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004563
—
IL
01
—
60010824
BC/BS
IL
Enumeration date
02/15/2008
Last updated
10/05/2010
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