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Contact Information

SARAH R KOSCICA, MD
1701 W GARDEN ST
PEORIA, IL61605
 Phone: 309-680-7600
 Fax: 309-680-7686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SARAH R KOSCICA · (Female)

NPI Number 1003814625
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2005
Last updated 06/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036120457
  • MI Medicaid 4753670
  • MI Medicaid 4763660
  • OH Medicaid 2581102
  • CA Other 344428256 BEECH STREET
  • OH Other 000000371872 ANTHEM COMMERICAL
  • OH Other 000000271872 ANTHEM MEDICAID
  • OH Other 142205 CARE CHOICES
  • OH Other 344428256065 CARESOURCES
  • OH Other 3303596 CIGNA
  • OH Other 344428256 EMERALD
  • OH Other 344428256 FIRST HEALTH
  • OH Other 130662 NATIONWIDE
  • OH Other 01513 PARAMOUNT
  • OH Other 142205 PRIORITY HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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