Individual
PAL LOUIS KOKITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
887 CROSS CREEK CT, DD, ROSELLE, IL 60172-3675
(630) 220-8550
Mailing address
887 CROSS CREEK CT, DD, ROSELLE, IL 60172-3675
(630) 220-8550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227.007777
IL
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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