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Paul Kozak, DO
Student in an Organized Health Care Education/Training Program in Bourbonnais, Illinois
NPI 1235790114

Paul Kozak is a Student in an Organized Health Care Education/Training Program based in Bourbonnais, IL. Paul Kozak practices in Bourbonnais, IL and has the professional credentials of DO. The NPI Number for Paul Kozak is 1235790114 and holds a License No. (Illinois).

The current practice location address for Paul Kozak is 1640 Hatteras Dr, Bourbonnais, IL and can be reached out via phone at 815-409-5061.

Location: 1640 Hatteras Dr, Bourbonnais, IL, 60914-9202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235790114
Provider Name
Paul Kozak
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1640 Hatteras Dr, Bourbonnais, IL, 60914-9202
Phone Number
815-409-5061
Fax Number
Provider Enumeration Date
06/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1640 Hatteras Dr
City
Bourbonnais
State
Illinois
Zip
60914-9202
Phone Number
815-409-5061
Fax Number
person
Provider Business Mailing Address Details
Address
1640 Hatteras Dr
City
Bourbonnais
State
Illinois
Zip
60914-9202
Phone Number
815-409-5061
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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