Individual
MELISSA LYNAE KOSANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 NORTHLIGHT PASSE, LAKE IN THE HILLS, IL 60156-4951
(847) 458-2373
Mailing address
171 NORTHLIGHT PASSE, LAKE IN THE HILLS, IL 60156-4951
(847) 458-2373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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