LORA KOSIVZOFF

CHICAGO, IL
NPI1740315472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: IL  016004167)
Enumeration Date2007-02-22
Last Update Date2010-07-12
Business Address
Dr. LORA KOSIVZOFF D.P.M.
65 E SCOTT ST APT 14E
CHICAGO, IL 60610-5278
Phone number: 312-335-1148
Mailing Address
Dr. LORA KOSIVZOFF D.P.M.
65 E SCOTT ST APT 14E
CHICAGO, IL 60610-5278
Phone number: 312-335-1148
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