<Unavail>

LBN: Kozak Orthodontics Pc
<Unavail> is an health care organization with primary practice located at 225 E Deerpath Ste 280 , Lake Forest IL 60045-1973. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Kozak Orthodontics Pc can be contacted via phone (847) 234-4400, or through Kozak, Bryon R via phone (262) 697-8766.

Contact Information

Primary practice address
225 E Deerpath Ste 280 Lake Forest IL 60045-1973
Phone: (847) 234-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kozak, Bryon R DDS, MS
Phone: (262) 697-8766

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1588834972
LBN Legal business name Kozak Orthodontics Pc
DBA Doing business as <Unavail>
Authorized official Kozak, Bryon R DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Mar 3rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588834972 NPPES
Illinois Other 1104946912 NPI

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