Provider Demographics
NPI:1013924489
Name:COZZI, THOMAS F (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:COZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1430 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:STE. #112
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4830
Mailing Address - Country:US
Mailing Address - Phone:847-394-9900
Mailing Address - Fax:847-394-1855
Practice Address - Street 1:1430 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:STE. #112
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4830
Practice Address - Country:US
Practice Address - Phone:847-394-9900
Practice Address - Fax:847-394-1855
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036062226207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036062226Medicaid
IL110103759Medicare ID - Type UnspecifiedRAILROAD MEDICARE
ILIL5507Medicare UPIN
IL691553Medicare ID - Type UnspecifiedMEDICARE