Kolozenski, Mark A
Kolozenski, Mark A is an individual health care provider with primary practice located at 14654 Hollow Tree Rd , Orland Park IL 60462-7402. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kolozenski, Mark A can be contacted via phone (708) 220-6640.Contact Information
Primary practice address
14654 Hollow Tree Rd
Orland Park IL 60462-7402
Phone: (708) 220-6640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 021001669 | Illinois |
Profile Details
| NPI number | 1831316157 |
|---|---|
| LBN Legal business name | Kolozenski, Mark A |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | May 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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