Kozlowski, Marjorie
Kozlowski, Marjorie is an individual health care provider with primary practice located at 5359 W Fullerton Ave , Chicago IL 60639-1450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kozlowski, Marjorie can be contacted via phone (773) 836-2785.Contact Information
Primary practice address
5359 W Fullerton Ave
Chicago IL 60639-1450
Phone: (773) 836-2785
Fax: (773) 836-7381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209004948 | Illinois |
Profile Details
| NPI number | 1760466379 |
|---|---|
| LBN Legal business name | Kozlowski, Marjorie |
| Credentials | DNP, APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760466379 | NPPES |
| Illinois | Other | 209004948 | APN |
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