Kozak, Melanie M

Kozak, Melanie M is an sole proprietor health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kozak, Melanie M can be contacted via phone (618) 798-3135.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4701
Phone: (618) 798-3135
Fax: (618) 798-3140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070018015 Illinois

Profile Details

NPI number 1093020521
LBN Legal business name Kozak, Melanie M
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2010
Last updated Dec 28th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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