Healthcare Provider Details

I. General information

NPI: 1346152733
Provider Name (Legal Business Name): TINA KOST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 N MCLEAN BLVD
ELGIN IL
60123-3253
US

IV. Provider business mailing address

1020 BEAU BRUMMEL DR
SLEEPY HOLLOW IL
60118-1802
US

V. Phone/Fax

Practice location:
  • Phone: 224-268-3268
  • Fax:
Mailing address:
  • Phone: 847-987-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.007765
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: