| Koziol Therapy And Coaching, Llc | |
|
1159 Wilmette Ave Suite 9 Wilmette IL 60091-2649 | |
| (773) 372-5996 | |
| Not Available |
| Full Name | Koziol Therapy And Coaching, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1159 Wilmette Ave, Wilmette, Illinois |
| Authorized Official Name and Position | Wioleta Koziol (OWNER) |
| Authorized Official Contact | 7733725996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koziol Therapy And Coaching, Llc 5348 N Cumberland Ave Apt. 502 Chicago IL 60656-1409 Ph: (773) 372-5996 | Koziol Therapy And Coaching, Llc 1159 Wilmette Ave Suite 9 Wilmette IL 60091-2649 Ph: (773) 372-5996 |
| NPI Number | 1205286440 |
|---|---|
| Provider Enumeration Date | 06/19/2016 |
| Last Update Date | 06/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205286440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.017528 (Illinois) | Primary |
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