Individual
DR. CRAIG KOSTRUBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9501 CENTRAL AVE, OAK LAWN, IL 60453-3784
(708) 346-9600
Mailing address
9501 CENTRAL AVE, OAK LAWN, IL 60453-3784
(708) 346-9600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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