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Mr. Mark Kosanovich, MD
Obstetrics & Gynecology Physician in Chicago, Illinois
NPI 1275517401

Mark Kosanovich is a Obstetrics & Gynecology Physician based in Chicago, IL. Mark Kosanovich practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Mark Kosanovich is 1275517401 and holds a License No. 036100871 (Illinois).

The current practice location address for Mark Kosanovich is 2525 S Michigan Ave, Chicago, IL and can be reached out via phone at 312-567-6691 and via fax at 312-328-7895.

Location: 2525 S Michigan Ave, Chicago, IL, 60616-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275517401
Provider Name
Mark Kosanovich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2525 S Michigan Ave, Chicago, IL, 60616-2333
Phone Number
312-567-6691
Fax Number
312-328-7895
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01621679 01 IL BCBS OF IL
036100871 05 IL
institution
Provider Business Practice Location Address Details
Address
2525 S Michigan Ave
City
Chicago
State
Illinois
Zip
60616-2333
Phone Number
312-567-6691
Fax Number
312-328-7895
person
Provider Business Mailing Address Details
Address
2525 S Michigan Ave
City
Chicago
State
Illinois
Zip
60616-2333
Phone Number
312-567-6691
Fax Number
312-328-7895
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036100871 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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