Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT GEORGE KOSOBUCKI, D.D.S.
Active Sole ProprietorROBERT GEORGE KOSOBUCKI, D.D.S. is a Endodontics healthcare provider located in PALOS PARK, Illinois. NPI 1144382961 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PALOS PARK, IL
Registration Details
- NPI Number
- 1144382961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2006 (19.693588941212 yrs)
- Last Updated
- Mar 11, 2014
- Licenses
-
19014600 (IL)021000861 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12011 S 86TH AVEPALOS PARK, IL, 604641221Browse IL providers · Browse ZIP 60464
- Phone
- 7083026953
- Fax
- 7083026953
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.