Individual
MARK F KOZLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 W 156TH ST, SUITE 401, HARVEY, IL 60426-4260
(708) 339-4800
(708) 339-3760
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01038049A
IN
207RH0003X
Hematology & Oncology Physician
Primary
IL036047581
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047581
—
IL
05
—
200016510F
—
IN
Enumeration date
06/01/2006
Last updated
09/25/2018
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