Michael Basil Cosmos, DMD is a student in an organized health care education training program in Chicago, IL. The provider is 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. Michael Basil Cosmos, DMD NPI is 1508494808. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657-123
Phone: (773) 871-1461
The enumeration date for this NPI number is 3/31/2020 and was last updated on 3/31/2020.