Individual
MS. BRIANA KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, RD
Contact information
Practice address
3001 N GREEN BAY AVE, NORTH CHICAGO, IL 60064
(224) 610-7748
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-7748
(224) 610-7749
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164006332
IL
363A00000X
Physician Assistant
Primary
085009992
IL
Other
Enumeration date
06/12/2015
Last updated
07/31/2026
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