Individual
DANIELLE KOSANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
Mailing address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25451
IL
101YM0800X
Mental Health Counselor
Primary
178010790
IL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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