Individual
BRENNA KATHLEEN KOUZOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1675 W DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-5313
(847) 723-2325
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209012491
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
277-004084
IL
Other
Enumeration date
02/10/2015
Last updated
07/03/2025
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