Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH MICHAEL KOZENY, M.D.
ActiveProcedural Dermatology · BUFFALO GROVE, IL
Registration Details
- NPI Number
- 1619971157
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2005 (20.857132480472 yrs)
- Last Updated
- Jan 5, 2016
- Licenses
-
036073084 (IL)036073084 (IL)036073084 (IL)
Practice Information
- Address
-
600 W LAKE COOK RDSTE 110BUFFALO GROVE, IL, 600892089Browse IL providers · Browse ZIP 60089
- Phone
- 8474596611
- Fax
- 8474597929
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Dermatology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
Other Procedural Dermatology Providers in BUFFALO GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| SCOTT DAVID GLAZER | M.D. | 1770587206 |
| MICHAEL H FRETZIN | MD | 1134118987 |
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.