OrganizationActive
Adult and Pediatric Neurology
NPI 1720532773 · Neurology with Special Qualifications in Child Neurology Physician · Skokie, IL
Provider details
- NPI number
- 1720532773
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Olga Kozlova, Neurologist
- License
- 036.133912 (IL)
Practice location
9933 Lawler Ave Ste 313
Skokie, IL 60077-3783
Phone: (847) 450-7737
Fax: (844) 412-9768
Mailing address
677 Carriage Hill Dr
Glenview, IL 60025-5402
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.