Individual provider Active NPI

Cosme O Lozano Jr., M.D.

  • Psychiatry Physician
  • Joliet, IL
National Provider Identifier
1336160597
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036082815 Issued in IL
Practice address
210 N Hammes Ave
Suite 205
Joliet, IL 60435-8139
Phone
(815) 729-7790
Fax
(815) 725-8144
NPI assigned
Jul 22, 2006
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036082815 IL Primary

Addresses

Primary practice location

210 N Hammes Ave
Suite 205
Joliet, IL 60435-8139

Mailing address

210 N Hammes Ave
Suite 205
Joliet, IL 60435-8139
Phone (815) 729-7790

Other identifiers 1

IdentifierTypeStateIssuer
1760647226OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000386 IL Practitioner - PsychiatryPractitioner - Geriatric MedicinePractitioner - Neuropsychiatry 0143127977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Medicine, Neuropsychiatry
Education
Southern Illinois University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joliet Center for Clinical Research, IncGroup PAC ID 3971662842, 9 clinicians
Cornerstone Services IncGroup PAC ID 9739135294, 5 clinicians

Practice addresses (Care Compare)

210 N Hammes Ave
Suite 205
Joliet, IL 60435-8139
Phone 8157297790102

800 Black Rd
Joliet, IL 60435-5942
Phone (815) 727-6667

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Services Inc CurrentSince Apr 1, 2017 Accepting new patients
Cornerstone Services Inc CurrentSince Apr 1, 2017 Accepting new patients
Joliet Center for Clinical Research, Inc Psychiatry CurrentSince Sep 1, 2008 Accepting new patients
Summit Center for Mental Health Inc PastSince Jul 1, 2015 Accepting new patients

Locations

210 N Hammes Ave
Ste 205
Joliet, IL 60435
Phone (815) 729-7790

777 Joyce Rd
Joliet, IL 60436
Phone (815) 727-6666

800 Black Rd
Joliet, IL 60435
Phone (815) 727-6667

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1336160597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "address_2": "SUITE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-729-7790",
            "fax_number": "815-725-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "address_2": "SUITE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-729-7790",
            "fax_number": "815-725-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "COSME",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036082815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1760647226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.