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Mary Elizabeth Copeland Kozak, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1689255028

Mary Elizabeth Copeland Kozak is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Mary Elizabeth Copeland Kozak practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Mary Elizabeth Copeland Kozak is 1689255028 and holds a License No. (Illinois).

The current practice location address for Mary Elizabeth Copeland Kozak is 815 Main St Ste C, Peoria, IL and can be reached out via phone at 309-672-4977.

Location: 815 Main St Ste C, Peoria, IL, 61602-1080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689255028
Provider Name
Mary Elizabeth Copeland Kozak
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
815 Main St Ste C, Peoria, IL, 61602-1080
Phone Number
309-672-4977
Fax Number
Provider Enumeration Date
04/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 Main St Ste C
City
Peoria
State
Illinois
Zip
61602-1080
Phone Number
309-672-4977
Fax Number
person
Provider Business Mailing Address Details
Address
815 Main St Ste C
City
Peoria
State
Illinois
Zip
61602-1080
Phone Number
309-672-4977
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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