Individual
CLAIRE IRENE KOSITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
70 KEN HAYES DR, BOURBONNAIS, IL 60914-9379
(708) 829-0059
Mailing address
17131 WARBLER LN, ORLAND PARK, IL 60467-8808
(708) 528-9612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224000162
—
IL
Enumeration date
07/09/2020
Last updated
07/09/2020
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