Individual
DR. MARLENE REID KOSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4805 N CLAREMONT AVE, CHICAGO, IL 60625-3791
(312) 579-3150
(312) 579-3151
Mailing address
720 BROM CT STE 201, NAPERVILLE, IL 60540-6534
(630) 355-3668
(630) 355-3016
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016.004406
IL
213E00000X
Podiatrist
Primary
016004406
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004406
—
IL
01
—
2230194
BC
IL
01
—
480032631
RR MEDICARE
—
Enumeration date
12/27/2005
Last updated
04/20/2026
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