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General NPI Number Information
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NPI Number | 1518304054
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Entity Type | Individual
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Provider Name | MARK K. KOSINSKI D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 9650 GROSS POINT RD STE 4900
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City | SKOKIE
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State | IL
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Zip | 60076-5080
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Country | US
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Telephone | 847-864-3278
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Fax | 847-676-1727
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-570-2040
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Fax | 847-570-5315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036140077
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036140077
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License Number State | IL
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