Individual
MS. BONNIE JOYCE KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 S WILKE RD, ARLINGTON HEIGHTS, IL 60005-1532
(847) 259-2020
Mailing address
1405 BOB O LINK RD, HIGHLAND PARK, IL 60035-3003
(847) 831-5423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635406
BLUE CROSS BLUE SHEILD
IL
Enumeration date
03/15/2007
Last updated
07/08/2007
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