Individual
DR. MICHAEL COSIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
408 LINCOLN DR STE C, HERRIN, IL 62948-3790
(618) 997-2403
Mailing address
408 LINCOLN DR STE C, HERRIN, IL 62948-3790
(618) 997-2403
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021002240
IL
Other
Enumeration date
12/11/2006
Last updated
05/05/2022
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