ROBERT GEORGE KOSOBUCKI (NPI# 1144382961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144382961 |
Entity Type | Individual |
Full Name | ROBERT GEORGE KOSOBUCKI |
Credential | D.D.S. |
Practice Address |
12011 S 86th Ave Palos Park IL 60464-1221 |
Practice Telephone | 7083026953 |
Practice Fax Number | 7083026953 |
Mailing Telephone | 7083026953 |
Mailing Fax Number | 7083026953 |
Enumeration Date | 2006-12-15 |
Last Update Date | 2014-03-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 19014600 | IL | Dental Providers |
Y | 1223E0200X |
Dentist Specialization: Endodontics |
021000861 | IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568878692 | Robert Kosobucki | Pharmacist | 621 Nickel Creek Cir, Durham, NC 27713-5844 | 2014-07-09 |
Street Address |
12011 S 86TH AVE |
City | PALOS PARK |
State | IL |
Zip Code | 60464-1221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
1730233297 | Rajitha Lakshmi Avva | Psychiatry & Neurology | Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 | 2007-01-22 |
1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
Find all providers in zip 60464 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089777 | Sebastian Przybylo, Dmd, Pllc | Dentist | 350 S Northwest Hwy Ste 116, Park Ridge, IL 60068-4262 | 2020-09-24 |
1770126740 | Old Orchard Endodontics | Dentist | 4905 Old Orchard Ctr Ste 216, Skokie, IL 60077-4741 | 2019-10-23 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1518488055 | Seth Thomas Barnett | Dentist | 3601 General Electric Rd Ste 6, Bloomington, IL 61704-8566 | 2017-07-06 |
1023562857 | Jwwdental LLC | Dentist | 808 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4816 | 2016-08-10 |
1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
1619360096 | Rajan Sharma | Dentist | 6319 Fairview Ave Ste 103, Westmont, IL 60559-2889 | 2015-03-10 |
Find all providers with the same taxonomy |
City | PALOS PARK |
Zip Code | 60464 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.