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

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