Robert George Kosobucki
Dentist Endodontist
12011 S 86th Ave
Palos Park
, Illinois 60464-1221
Robert George Kosobucki
Dentist Endodontist
12011 S 86th Ave
Palos Park
, Illinois 60464-1221
(708) 302-6953
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About
Features
Specialties
- Dentist
- Endodontist
Languages spoken
- English
Location
First Address
- Robert George Kosobucki
- 12011 S 86th Ave
- Palos Park, IL
- Zip : 60464-1221
- Fax : (708) 302-6953
- Phone : (708) 302-6953
Second Address
- Robert George Kosobucki
- 12011 S 86th Ave
- Palos Park, IL
- Zip : 60464-1221
- Fax : (708) 302-6953
- Phone : (708) 302-6953
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Is Robert George Kosobucki a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 19014600 | IL |
| Y | 1223E0200X | Endodontist | 021000861 | IL |
National Provider Identifier
| NPI | 1144382961 |
|---|---|
| Provider Name | Robert George Kosobucki |
| First Address | Palos Park, IL 60464-1221 |
| Second Address | Palos Park, IL 60464-1221 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2006 |
| Last Update Date | 11/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.