MARLENE R KOSOVA DPM NPI 1558348136

NPI Information

  • NPI: 1558348136
  • Provider Name: MARLENE R KOSOVA, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 640 S WASHINGTON ST STE 240
    NAPERVILLE, IL
    ZIP 60540
  • Phone: (630) 355-3668

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NPI Details

Marlene R Kosova, DPM is a podiatrist in Naperville, IL with 36 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Marlene R Kosova, DPM NPI is 1558348136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:1989

The provider's business location address is:

640 S WASHINGTON ST STE 240
NAPERVILLE, IL
ZIP 60540-792
Phone: (630) 355-3668
Fax: (630) 355-3016

The NPI 1558348136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/27/2005 and was last updated on 6/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016004406ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12230194OTHERILLINOISBC
2480032631OTHERRR MEDICARE
3016004406MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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