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NPI Code Detail

MEDICARE: MS. THERESE MARGARET HILLER-KOZUBIK N.P.

MEDICARE:  MS. THERESE MARGARET HILLER-KOZUBIK  N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered Nurse209-002502IL
2363LF0000XFamily Nurse Practitioner209.002502IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821195496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THERESE MARGARET HILLER-KOZUBIK N.P.
Provider Business Mailing Address
First Line : 2007 95TH ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8459
Country : US
Telephone Number : 630-646-6907
Fax Number :
Provider Business Practice Location Address
First Line : 2007 95TH ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8459
Country : US
Telephone Number : 630-646-6907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 10/05/2012

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Directions to “ MS. THERESE MARGARET HILLER-KOZUBIK N.P.” Practice Location

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