NPI 1003052028

Coskids Pediatrics LTD

Organisation Pediatrics Physician Swansea, IL

Practice location

Address: 4212 N Illinois St, Swansea, IL 62226-1835
Phone: (618) 233-6685
Mailing address: PO Box 217, O Fallon, IL 62269-0217

Authorised official

Name: Joseph Patick Costello
Title: President
Phone: (618) 233-6685

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036079559 (IL)

Other Pediatrics providers in Illinois →

Registry record

NPI: 1003052028
Entity type: Organization
NPI issued: 22 Dec 2008
Record last updated: 22 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.