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Contact Information

ROBERT G KOSOBUCKI, DDS
12011 S 86TH AVE
PALOS PARK, IL60464-1221
 Phone: 708-302-6953
 Fax: 708-302-6953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ROBERT G KOSOBUCKI · (Male)

NPI # 1144382961
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/15/2006
Last updated 03/11/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 021000861
  • IL License # 19014600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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