Most Relevant Information
Provider Data
| NPI Number: | 1003814625 |
| Provider Name: | SARAH R KOSCICA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 036120457 |
Most Important Dates
| Enumeration Date: | 07/08/2005 |
| Last Updated: | 06/11/2014 |
Provider Practice Location
1701 W GARDEN ST
PEORIA
IL
61605
Practice Location Phone/Fax
| Phone: | 3096807600 |
| Fax: | 3096807686 |
Provider Mailing Location
2214 N UNIVERSITY AVE
PEORIA
IL
61604
Provider Mailing Phone/Fax
| Phone: | 3096807600 |
| Fax: | 3096818620 |
Suggested EMR
Family Practice EMR