Individual
NATALIE KOZLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Mailing address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036129976
IL
207L00000X
Anesthesiology Physician
125051411
IL
207L00000X
Anesthesiology Physician
56290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619127339
—
WI
Enumeration date
09/30/2008
Last updated
09/24/2013
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