Individual
MS. JESSICA ANN KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611
(312) 926-2000
Mailing address
5263 N LAPORTE AVE, CHICAGO, IL 60630-1617
(773) 742-7742
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005907
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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