Doctor Name: | DR. DONALD B COSLEY |
NPI Number: | 1134124258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 016002547 |
Business Practice Address: | 121 S Wilke Rd Suite 103 Arlington Hts, IL - 600051533 |
Business Phone Number: | 8473943399 |
Business Fax Number: | 8475900160 |
Mailing Address: | 121 S Wilke Rd, Suite 103 ARLINGTON HTS |
State: | IL |
Postal Code: | 600051533 |
Phone Number: | 8473943399 |
Fax Number: | 8475900160 |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 02/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 016002547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |