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NPI Code Detail

MEDICARE: PAULINA KOSCIOLEK

MEDICARE:   PAULINA  KOSCIOLEK
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
1390200000XStudent in an Organized Health Care Education/Training ProgramK24267097870IL

General Provider Information

NPI Number : 1558217828
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINA KOSCIOLEK
Provider Business Mailing Address
First Line : 616 N BENTON ST
Second Line :
City : PALATINE
State : IL
Zip : 60067-3530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-478-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ PAULINA KOSCIOLEK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.