Individual
CARLEY KOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 CHATHAM RD STE A, SPRINGFIELD, IL 62704-5379
(815) 725-9992
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3717
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
217000336
IL
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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