Individual
ANDREW KOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 E HUNTER AVE APT 3, BLOOMINGTON, IN 47401-4966
(630) 432-7810
Mailing address
809 E HUNTER AVE APT 3, BLOOMINGTON, IN 47401-4966
(630) 432-7810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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