Provider Demographics
NPI:1194773754
Name:DOBRESCU, COSMIN (MD)
Entity type:Individual
Prefix:DR
First Name:COSMIN
Middle Name:
Last Name:DOBRESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 N MILWAUKEE AVE STE B316
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-6905
Mailing Address - Country:US
Mailing Address - Phone:205-520-4101
Mailing Address - Fax:
Practice Address - Street 1:1658 N MILWAUKEE AVE STE B316
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-6905
Practice Address - Country:US
Practice Address - Phone:205-520-4101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01081319A208G00000X
LA330415208G00000X
OH35.096758208G00000X
WI54864-20208G00000X
WV29944208G00000X
ALMD.37367208G00000X
PAMD437759208G00000X
CAA-121057208G00000X
GA064361208G00000X
FLME120059208G00000X
IL036.127050208G00000X
TXT2356208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHM035ZMedicare PIN