Individual
ELIZABETH KOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6639 N KEDZIE AVE, CHICAGO, IL 60645-4161
(773) 765-3131
Mailing address
2504 N WILLETTS CT UNIT 3S, CHICAGO, IL 60647-7704
(708) 717-9488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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