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Jaclyn F. Koziol, PA-C

Physician Assistant · Chicago, IL

UnclaimedPA-CNPI 1144865601
Primary taxonomy
363A00000X
Enumerated
2019-11-08
Practice location
Chicago, IL
Last NPPES update
2022-05-23

State licenses

  • IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTActivethrough 2028
  • IN · Physician assistant · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.