Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Kozinski, MD

Individual provider Family Medicine Physician · NPI 1871575233

Lisa Kozinski, MD is a Family Practice in Chicago, Illinois. Graduated from Rush Medical College of Rush University in 2002, 24 years ago. Practices with Pcc Community Wellness Center, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5425 W Lake St
Chicago, IL 60644-2342
Phone: (773) 378-3347
Fax: (773) 378-4028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 166 N Humphrey Ave, Oak Park, IL 60302-2579 — (708) 445-7579

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036112489 (IL)

Record details

NPI number1871575233
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address5425 W Lake St, Chicago, IL 60644-2342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2002 (24 years in practice)
Group practice Pcc Community Wellness Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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