Individual
ROBERT GEORGE KOSOBUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12011 S 86TH AVE, PALOS PARK, IL 60464-1221
(708) 302-6953
(708) 302-6953
Mailing address
12011 S 86TH AVE, PALOS PARK, IL 60464-1221
(708) 302-6953
(708) 302-6953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19014600
IL
1223E0200X
Endodontics
Primary
021000861
IL
Other
Enumeration date
12/15/2006
Last updated
03/11/2014
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