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Individual

DR. GUSTAV R KOZINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2127 GREEN BAY RD, NORTH CHICAGO, IL 60064-2801
(847) 689-3800
Mailing address
37179 N SHERIDAN RD, BEACH PARK, IL 60087-3154
(847) 689-3800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01912739
IL

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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