Organization
DOROTHY KOZAKOWSKI, APRN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY KOZAKOWSKI APN (APN)
(224) 306-1879
Entity
Organization
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(224) 306-1879
(847) 919-6875
Mailing address
PO BOX 506, NORTHBROOK, IL 60065-0506
(224) 306-1879
(847) 919-6875
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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