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CRISALE COSAS MD
NPI 1568597565
Family Medicine in Granite City, IL

Active since February 22, 2007
2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crisale Cosas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRISALE COSAS MD (NPI 1568597565) is an individual family medicine provider in Granite City, Illinois, licensed in Illinois (036085907) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1568597565
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRISALE COSASCredential: MD
Location Address2100 MADISON AVEGranite City, IL 62040-4701
Mailing Address2100 Madison AveGranite City, IL 62040-4701 · (618) 798-3000
Phone(618) 798-3000
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568597565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036085907
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2100 MADISON AVE, Granite City, IL 62040
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Other Identifiers 3

Medicare UPINF51609
Medicare ID-Type UnspecifiedL90487IL
Medicaid036085907IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRANITE CITY CLINIC CORP
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
MR. WALTER P GRIFFITH P.T.
Physical Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Psychiatric Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
TANYA VIETMEIER PTA
Physical Therapy Assistant
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3133
JANICE M PAUTLER RD,LD
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-5082
MR. SAMUEL W GUITHUES OT
Occupational Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DALTON ALEXANDER HALM
Nurse Practitioner (Acute Care)
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (619) 798-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crisale Cosas's NPI number?

The NPI number for Crisale Cosas is 1568597565. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Crisale Cosas located?

Crisale Cosas practices at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 798-3000.

What is Crisale Cosas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crisale Cosas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.