Individual
STEPHANIE KOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 N MICHIGAN AVE STE 2100, CHICAGO, IL 60611-3773
(312) 276-1212
(312) 276-1213
Mailing address
500 N MICHIGAN AVE STE 2100, CHICAGO, IL 60611-3773
(312) 276-1212
(312) 276-1213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAQH
14395642
IL
Enumeration date
01/18/2019
Last updated
01/18/2019
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