person
Michael Basil Cosmos, DMD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1508494808

Michael Basil Cosmos is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Michael Basil Cosmos practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Michael Basil Cosmos is 1508494808 and holds a License No. (Illinois).

The current practice location address for Michael Basil Cosmos is 811 W Wellington Ave, Chicago, IL and can be reached out via phone at 773-871-1461.

Location: 811 W Wellington Ave, Chicago, IL, 60657-5123
person
Provider Profile Details
NPI Number
1508494808
Provider Name
Michael Basil Cosmos
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
811 W Wellington Ave, Chicago, IL, 60657-5123
Phone Number
773-871-1461
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
811 W Wellington Ave
City
State
Zip
60657-5123
Phone Number
773-871-1461
Fax Number
person
Provider Business Mailing Address Details
Address
811 W Wellington Ave
City
State
Zip
60657-5123
Phone Number
773-871-1461
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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