Koziol Psychological Services

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

KOZIOL PSYCHOLOGICAL SERVICES

Practice address

3800 N Wilke Rd
Suite 160
Arlington HTS, IL 60004-1278

Phone

(847) 686-3643

NPI assigned

Mar 26, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Koziol, PSYD

Title

Owner

Phone

(847) 686-3643

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1447377023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600781457",
            "telephone_number": "847-686-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N WILKE RD",
            "address_2": "SUITE 160",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041278",
            "telephone_number": "847-686-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZIOL PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "KOZIOL",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-686-3643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "04672011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agata Kluz
• Agnieszka Knobloch, DMD
• Steven A Kooperman, M.D.
• Dean Phillip Kopecky, LCSW
• Bernadeta A. Kordas, M.D
• Michele L Lawhun, MD
• Paris Leachman
• Judy Marie Lefevour, LCPC
• Giulio A Leone, MD
• Levin Orthopedics, S.C.

• Clinical Neuropsychologist in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.