Provider Demographics
NPI:1619750775
Name:DR. KARYN BRASKY KOZY LLC
Entity Type:Organization
Organization Name:DR. KARYN BRASKY KOZY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOZY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-508-4650
Mailing Address - Street 1:3123 SEILER CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-4424
Mailing Address - Country:US
Mailing Address - Phone:708-508-4650
Mailing Address - Fax:
Practice Address - Street 1:3123 SEILER CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-4424
Practice Address - Country:US
Practice Address - Phone:708-508-4650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health