Madeleine Michelle Kozak, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.014066 Issued in IL

Practice address

800 S Milwaukee Ave Ste 220
Libertyville, IL 60048-3217

Phone

(847) 918-7947

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1093300675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 ATTENBOROUGH CT",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303480",
            "telephone_number": "224-688-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483217",
            "telephone_number": "847-918-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "MADELEINE",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Louise Kosman, P.T.
• Andrew Kotis, DO
• Kristin Kovacek
• Matthew Kovarik
• Susan A Kovarik, NP
• Melonica L Kozil
• Yelena Y Kozlovitser, DDS
• Lauren Krapf
• Jessica Lynn Krishnakumar, D.C.
• Rebecca Kroes, PTA

• Occupational Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.