Kenneth Milan Kozik, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

9021 S Commercial Ave
Chicago, IL 60617-4304

Phone

(773) 978-5490

Fax

(773) 978-5490

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174514038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174304",
            "telephone_number": "773-978-5490",
            "fax_number": "773-978-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174304",
            "telephone_number": "773-978-5490",
            "fax_number": "773-978-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIK",
        "first_name": "KENNETH",
        "middle_name": "MILAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthi Kozhumam
• Daniel R. Kozicki, D.D.S.
• Kailee Ann Kozicki
• Kevin John Kozie, DPM
• Joanna Kozien, PHARMD
• Walter John Kozin, D.D.S.
• Lisa Kozinski, MD
• Jaclyn F. Koziol, PA-C
• Jakub Koziol
• Katarzyna Anna Koziol, APN-CNP

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.