Search › Illinois › 213E00000X
Lora Kosivzoff, D.P.M
NPI 1740315472 · on the registry since 2007 · sole proprietor
Practice
- Address
- 65 E Scott St Apt 14e
Chicago, IL 60610 - Phone
- (312) 335-1148
- Fax
- (312) 335-8617
- Organisation at this address
- Abughazaleh Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois