Kevin Jozwiak, DMD
Individual provider Active NPI Dentist · Schaumburg, IL
NPI 1013403971 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1013403971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019031764 (IL)
- Practice address
- 752 E Schaumburg Rd
Schaumburg, IL 60194-3508 - Phone
- (847) 843-7797
- NPI assigned
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019031764 | IL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019031764 | IL | Yes |
Addresses
Primary practice location
752 E Schaumburg Rd
Schaumburg, IL 60194-3508
Mailing address
752 E Schaumburg Rd
Schaumburg, IL 60194-3508
Phone (847) 843-7797
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.