Most Relevant Information
Provider Data
| NPI Number: | 1003483579 |
| Provider Name: | ANITA KOZAK |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2021 |
| Last Updated: | 06/04/2021 |
Provider Practice Location
70 S RIVER ST
AURORA
IL
605065185
Practice Location Phone/Fax
| Phone: | 6308442662 |
| Fax: |
Provider Mailing Location
70 S RIVER ST
AURORA
IL
605065185
Provider Mailing Phone/Fax
| Phone: | 6308442662 |
| Fax: |