Active NPI
Laura M Cozzi, M.D., P.C.
- Ophthalmology Physician
- Melrose Park, IL
National Provider Identifier
1346363082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036079795
- Legal business name
- LAURA M COZZI, M.D., P.C.
- Practice address
- 675 W North Ave
Suite 301
Melrose Park, IL 60160-1634 - Phone
- (708) 450-5748
- Fax
- (708) 681-3255
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura M Cozzi, M.D.
- Title
- Owner
- Phone
- (708) 450-5748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036079795 | IL | Primary |
Addresses
Primary practice location
675 W North Ave
Suite 301
Melrose Park, IL 60160-1634
Mailing address
675 W North Ave
Suite 301
Melrose Park, IL 60160-1634
Phone (708) 450-5748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036079795 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337299200000",
"number": "1346363082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 301",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601634",
"telephone_number": "708-450-5748",
"fax_number": "708-681-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 301",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601634",
"telephone_number": "708-450-5748",
"fax_number": "708-681-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA M COZZI, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2012-05-18",
"status": "A",
"authorized_official_last_name": "COZZI",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-450-5748",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036079795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036079795",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.