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1548930431
MALLORY KOSOW
OAK LAWN, IL
NPI
1548930431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008163)
Enumeration Date
2021-09-14
Last Update Date
2022-04-25
Business Address
MALLORY KOSOW
4400 W 95TH ST STE 413
OAK LAWN, IL 60453-2662
Phone number: 708-346-4055
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Mailing Address
MALLORY KOSOW
2342 W BLOOMINGDALE AVE APT 403
CHICAGO, IL 60647-5616
Phone number: 603-965-5456
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