Individual
MELONICA L KOZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2900
(847) 362-6895
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041-449583
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-032733
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2023
Last updated
08/05/2025
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