Provider Demographics
NPI:1568946572
Name:KOSINSKI, SARAH (DNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KOSINSKI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 YORK RD
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1992
Mailing Address - Country:US
Mailing Address - Phone:312-942-5861
Mailing Address - Fax:312-942-7394
Practice Address - Street 1:2011 YORK RD
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1992
Practice Address - Country:US
Practice Address - Phone:312-942-5861
Practice Address - Fax:312-942-7394
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.018078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily