Healthcare Provider Details

I. General information

NPI: 1477974525
Provider Name (Legal Business Name): MARGARITA KOS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7055 HIGH GROVE BLVD
BURR RIDGE IL
60527-7593
US

IV. Provider business mailing address

7055 HIGH GROVE BLVD
BURR RIDGE IL
60527-7593
US

V. Phone/Fax

Practice location:
  • Phone: 630-371-9980
  • Fax: 630-371-1555
Mailing address:
  • Phone: 630-371-9980
  • Fax: 630-371-1555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277001467
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: