Individual
DR. JEFFREY W. COZZENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 N RUTLEDGE ST FL 3, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-1622
Mailing address
PO BOX 19680, SPRINGFIELD, IL 62794-9680
(217) 545-8000
(217) 545-8103
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036059837
IL
208600000X
Surgery Physician
036059837
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059837
—
IL
Enumeration date
07/20/2006
Last updated
10/21/2020
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