Provider Demographics
NPI:1023424843
Name:MIKOS, KAROLINA (MD)
Entity type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:MIKOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 SKOKIE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1621
Mailing Address - Country:US
Mailing Address - Phone:773-916-6979
Mailing Address - Fax:
Practice Address - Street 1:333 SKOKIE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1621
Practice Address - Country:US
Practice Address - Phone:773-916-6979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.147871207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine