Cosmo Vivirito, DMD

NPI 1588236897 · on the registry since 2021 · sole proprietor

Practice

Address: 2210 Dean St Ste J1
St Charles, IL 60175
Phone: (630) 377-9008
Organisation at this address: Midwest Surgery S.C.
Tri-City Neurology Sc
St. Charles Podiatry Assoc
Judith R. Bugh, Ma, Ccc Slp, Ltd.
Dr. Michele S. Horton, D.D.S.,P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois