Coskids Pediatrics Ltd

NPI #1003052028 in Swansea, Illinois

Provider Information

NPI Number: 1003052028
Entity Type: Organization
Organization Name: Coskids Pediatrics Ltd
Primary Specialty: Pediatrics
Enumeration Date: Dec 22, 2008
Last Updated: Dec 22, 2008

Practice Location

Address: 4212 N ILLINOIS ST
City: Swansea
State: Illinois
ZIP Code: 62226-1835
Phone: (618) 233-6685

Authorized Official

Name: DR. JOSEPH PATICK COSTELLO III, M.D.
Title: PRESIDENT
Phone: (618) 233-6685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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