Healthcare Provider Details

I. General information

NPI: 1295672533
Provider Name (Legal Business Name): LAUREN KOSHABA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3670 GREENBRIAR DR
ELGIN IL
60124-5734
US

IV. Provider business mailing address

3670 GREENBRIAR DR
ELGIN IL
60124-5734
US

V. Phone/Fax

Practice location:
  • Phone: 847-767-7428
  • Fax:
Mailing address:
  • Phone: 847-767-7428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: