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Brett Anthony Kosowski, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1942996384

Brett Anthony Kosowski is a Student in an Organized Health Care Education/Training Program based in Bartlett, IL. Brett Anthony Kosowski practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Brett Anthony Kosowski is 1942996384 and holds a License No. (Illinois).

The current practice location address for Brett Anthony Kosowski is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-7171.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 60103-8613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942996384
Provider Name
Brett Anthony Kosowski
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 60103-8613
Phone Number
309-655-7171
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-7171
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-7171
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.
(Illinois)
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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