Provider Demographics
NPI:1366975369
Name:COZZI-GLASER, GABRIELLA D (MD)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:D
Last Name:COZZI-GLASER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GABRIELLA
Other - Middle Name:
Other - Last Name:COZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:675 N SAINT CLAIR ST STE 14-200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5966
Practice Address - Country:US
Practice Address - Phone:312-695-7542
Practice Address - Fax:312-695-5462
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL37653207VM0101X, 207V00000X
IL036169682207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology