Individual
KRISTOPHER L COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8808 BURTON RD, WONDER LAKE, IL 60097-9433
(815) 388-6324
Mailing address
8808 BURTON RD, WONDER LAKE, IL 60097-9433
(815) 388-6324
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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