MEDICARE: BETHANY M KOSEK

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1851000269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY M KOSEK

Provider Business Mailing Address
First Line	:	2560 FOXFIELD RD STE 320
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-5731
Country	:	US
Telephone Number	:	630-222-7375
Fax Number	:

Provider Business Practice Location Address
First Line	:	2560 FOXFIELD RD
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-5797
Country	:	US
Telephone Number	:	630-222-7375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	02/19/2026

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Directions to “ BETHANY M KOSEK ” Practice Location

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