Individual
DR. KEVIN JOHN KOZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5411 W HIGGINS AVE, CHICAGO, IL 60630
(773) 725-4511
Mailing address
5411 W HIGGINS AVE, CHICAGO, IL 60630
(773) 725-4511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001289
BLUE CROSS
IL
Enumeration date
01/02/2007
Last updated
07/08/2007
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