Individual
MADELEINE MICHELLE KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 S MILWAUKEE AVE STE 220, LIBERTYVILLE, IL 60048-3217
(847) 918-7947
Mailing address
396 ATTENBOROUGH CT, GRAYSLAKE, IL 60030-3480
(224) 688-3914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014066
IL
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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