Mallory Paulette Kosow

NPI #1548930431 in Oak Lawn, Illinois

Provider Information

NPI Number: 1548930431
Entity Type: Individual
Name: Mallory Paulette Kosow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 14, 2021
Last Updated: Dec 16, 2025

Practice Location

Address: 4400 W 95TH ST STE 413
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2662
Phone: (708) 346-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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