Individual
BARBARA KOSSUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
934 CENTER ST, ELGIN, IL 60120-2125
(847) 429-8750
(847) 429-8978
Mailing address
4292 OAK KNOLL LN, HOFFMAN ESTATES, IL 60192-5607
(847) 776-9624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036093878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093878
—
IL
01
—
04532206
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/14/2005
Last updated
11/24/2009
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