| Doctor Name: | DR. KOSIT PRIEB |
| NPI Number: | 1033154190 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036-047055 |
| Business Practice Address: | 311 W Lincoln St Suite 200 Belleville, IL - 622201902 |
| Business Phone Number: | 6182332500 |
| Business Fax Number: | 6182332520 |
| Mailing Address: | 379 Oak Hill Dr, BELLEVILLE |
| State: | IL |
| Postal Code: | 622232231 |
| Phone Number: | 6183980231 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 036-047055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |