Individual
DR. MATTHEW JOHN KOSCICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 E WASHINGTON ST STE 1464, CHICAGO, IL 60602-1820
(312) 600-7818
(765) 204-1880
Mailing address
25 E WASHINGTON ST STE 1464, CHICAGO, IL 60602-1820
(312) 600-7818
(765) 204-1880
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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