Individual
DR. COLBERN JOSEFCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3041
(708) 327-3489
Mailing address
2627 SEVERANCE ST, LOS ANGELES, CA 90007-2531
(719) 354-8313
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
018.002304
IL
Other
Enumeration date
03/31/2025
Last updated
06/05/2025
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