| Mary Elizabeth Copeland Kozak, DO | |
|
375 N Wall St Ste P310, Kankakee, IL 60901-3484 | |
| (815) 933-0194 | |
| Not Available |
| Full Name | Mary Elizabeth Copeland Kozak |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 375 N Wall St Ste P310, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689255028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036166884 (Illinois) | Primary |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Copeland Kozak, DO 375 N Wall St Ste P310, Kankakee, IL 60901-3484 Ph: (815) 933-0194 | Mary Elizabeth Copeland Kozak, DO 375 N Wall St Ste P310, Kankakee, IL 60901-3484 Ph: (815) 933-0194 |
Dr. Kenneth George Handy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 North Wall St, Ste 504, Kankakee, IL 60901 Phone: 815-932-4021 Fax: 815-932-7270 | |
Brian Patrick Olofsson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall, Suite 510, Kankakee, IL 60901 Phone: 815-932-5725 Fax: 815-932-5872 | |
Dr. Harris Waheed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901 Phone: 815-802-0000 Fax: 815-935-1000 | |
Dr. Shirley Kathleen Comer, ACNS-BC, APN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 606 E Court St, Kankakee, IL 60901 Phone: 815-216-3346 Fax: 815-348-6701 | |
Regan Lane Kendregan, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Wall St, Ste 510, Kankakee, IL 60901 Phone: 815-932-5725 Fax: 915-932-5872 | |
Simon K Wu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste 303, Kankakee, IL 60901 Phone: 815-933-1664 Fax: 815-935-5660 | |
Princy Ann George, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 W Court St Ste 400, Kankakee, IL 60901 Phone: 815-937-8744 |