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

Mallory Paulette Kosow

Individual provider Physician Assistant · NPI 1548930431

Mallory Paulette Kosow is a Physician Assistant in Oak Lawn, Illinois. Graduated from Rush Medical College of Rush University in 2020, 6 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

4400 W 95th St Ste 413
Oak Lawn, IL 60453-2662
Phone: (708) 346-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.008163 (IL)

Record details

NPI number1548930431
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address2342 W Bloomingdale Ave Apt 403, Chicago, IL 60647-5616

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Oak Lawn