Basic Information
| Provider Information | |||||||||
| NPI: | 1215979745 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOSINSKI | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 790 REMINGTON BLVD | ||||||||
| Address2: | |||||||||
| City: | BOLINGBROOK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604404909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027931800 | ||||||||
| FaxNumber: | 3027930800 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 N PARKE ST | ||||||||
| Address2: | |||||||||
| City: | ABERDEEN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210012436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102978141 | ||||||||
| FaxNumber: | 4102978142 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2006 | ||||||||
| LastUpdateDate: | 09/06/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 19277 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | J10001778 | DE | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | P00400284 | 01 | RR MEDICARE | OTHER | 0656032000 | 01 | PA | AMERIHEALTH | OTHER | 0656032000 | 01 | AMERIHEALTH IBC | OTHER | 337437 | 01 | PA | PA BS | OTHER | 337437 | 01 | PABS | OTHER | 1215979745 | 01 | CHAMPUS | OTHER | 1215979745 | 05 | DE | MEDICAID | 68597829 | 01 | NCA | OTHER | 5070-0036 | 01 | CARE FIRST | OTHER |