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Justin Kozak
Professional Counselor in Chicago, Illinois
NPI 1972054294

Justin Kozak is a Professional Counselor based in Blue Island, IL and is specialized in Professional. Justin Kozak practices in Chicago, IL. The NPI Number for Justin Kozak is 1972054294 and holds a License No. 180.010578 (Illinois).

The current practice location address for Justin Kozak is 5710 N Broadway St, Chicago, IL and can be reached out via phone at 224-500-4197.

Location: 5710 N Broadway St, Chicago, IL, 60406-2032
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Provider Profile Details
NPI Number
1972054294
Provider Name
Justin Kozak
Credential
Provider Entity Type
Individual
Gender
Male
Address
5710 N Broadway St, Chicago, IL, 60406-2032
Phone Number
224-500-4197
Fax Number
Provider Enumeration Date
10/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5710 N Broadway St
City
State
Zip
60660-4302
Phone Number
224-500-4197
Fax Number
person
Provider Business Mailing Address Details
Address
5710 N Broadway St
City
State
Zip
60660-4302
Phone Number
224-500-4197
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.010578 (Illinois)
Definition
Definition to come...
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