MEDICARE: CHRISTINA MIKOSZ MD

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
1	207R00000X	Internal Medicine Physician	036170353	IL

General Provider Information

NPI Number	:	1891921722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MIKOSZ MD

Provider Business Mailing Address
First Line	:	69 W WASHINGTON ST STE 3500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-3027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	69 W WASHINGTON ST STE 3500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-3027
Country	:	US
Telephone Number	:	312-848-6242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2009
Last Update Date	:	02/17/2026

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