Provider Demographics
NPI:1760491849
Name:KOSMAN, ZOYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOYA
Middle Name:
Last Name:KOSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 CRAWFORD AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1700
Mailing Address - Country:US
Mailing Address - Phone:847-329-1390
Mailing Address - Fax:847-677-7760
Practice Address - Street 1:9150 CRAWFORD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1700
Practice Address - Country:US
Practice Address - Phone:847-329-1390
Practice Address - Fax:847-677-7760
Is Sole Proprietor?:No
Enumeration Date:2006-08-06
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360973672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036097367Medicaid
ILG76690Medicare UPIN
IL036097367Medicaid