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Individual

DR. OLGA KOZLOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9933 LAWLER AVE STE 313, SKOKIE, IL 60077-3783
(847) 450-7737
(844) 412-9768
Mailing address
9933 LAWLER AVE STE 313, SKOKIE, IL 60077-3783
(847) 450-7737
(844) 412-9768

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036133912
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720532773
IL
Enumeration date
04/18/2013
Last updated
07/27/2023
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