Kozak, Mary Elizabeth Copeland
Kozak, Mary Elizabeth Copeland is an individual health care provider with primary practice located at 375 N Wall St Ste P310 , Kankakee IL 60901-3484. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kozak, Mary Elizabeth Copeland can be contacted via phone (815) 933-0194.Contact Information
Primary practice address
375 N Wall St Ste P310
Kankakee IL 60901-3484
Phone: (815) 933-0194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036166884 | Illinois |
Profile Details
| NPI number | 1689255028 |
|---|---|
| LBN Legal business name | Kozak, Mary Elizabeth Copeland |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2021 |
| Last updated | Jun 6th, 2024 - about 2 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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