Individual
MR. PETER J. KOSIROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
415 8TH CT, ST CHARLES, IL 60174-2610
(630) 549-0295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1032884
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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