Individual
DR. MATTHEW JOHN KOSCICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.147145
IL
2084P0800X
Psychiatry Physician
125068293
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2015
Last updated
07/24/2020
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