Individual
JEFFREY COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3408 W ROOSEVELT RD, CHICAGO, IL 60624-4338
(773) 826-2929
(773) 826-2964
Mailing address
3408 W ROOSEVELT RD, CHICAGO, IL 60624-4338
(773) 826-2929
(773) 826-2964
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
171M00000X
Case Manager/Care Coordinator
—
IL
Other
Enumeration date
04/25/2022
Last updated
05/07/2024
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