Individual
MRS. ELIZABETH PAULINE KOSKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1601 S INDIANA AVE, #313, CHICAGO, IL 60616-1391
(312) 212-1426
Mailing address
1601 S INDIANA AVE, #313, CHICAGO, IL 60616-1391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001801
IL
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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