Kosova, Marlene R

Kosova, Marlene R is an individual health care provider with primary practice located at 640 S Washington St Ste 240 , Naperville IL 60540-6792. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kosova, Marlene R can be contacted via phone (630) 355-3668.

Contact Information

Primary practice address
640 S Washington St Ste 240 Naperville IL 60540-6792
Phone: (630) 355-3668
Fax: (630) 355-3016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004406 Illinois

Profile Details

NPI number 1558348136
LBN Legal business name Kosova, Marlene R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jun 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558348136 NPPES
Illinois MEDICAID 016004406
Illinois Other 480032631
Illinois Other 2230194

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