IndividualActive
Brenna Kouzoukas, FNP-BC
NPI 1699166892 · Critical Care Pediatric Nurse Practitioner · Park Ridge, IL
Provider details
- NPI number
- 1699166892
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209012491 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1675 W Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-5313
Fax: (847) 723-2325
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (2)
- 977 N Oaklawn AveSuite 104Elmhurst, IL 60126-1045Phone: (630) 832-1775
- 1775 Dempster StPark Ridge, IL 60068-1143Phone: (847) 723-2210
Registry dates
- Enumerated
- 2015-02-10
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.