Individual
DR. TIMOTHY E. KABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1025 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 367-8656
(847) 367-8656
Mailing address
1025 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 367-8656
(847) 367-8656
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021-001290
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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