| Kozak Orthodontics, P.c. | |
|
1326 Main St Suite B Antioch IL 60002-2181 | |
| (847) 603-1682 | |
| Not Available |
| Full Name | Kozak Orthodontics, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1326 Main St, Antioch, Illinois |
| Authorized Official Name and Position | Bryon R Kozak (ORTHODONTIST) |
| Authorized Official Contact | 8476031682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kozak Orthodontics, P.c. 1326 Main St Suite B Antioch IL 60002-2181 Ph: (847) 603-1682 | Kozak Orthodontics, P.c. 1326 Main St Suite B Antioch IL 60002-2181 Ph: (847) 603-1682 |
| NPI Number | 1164754016 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164754016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19-025556 (Illinois) | Primary |
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