Radoslaw Tomasz Kubala

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

6132 Elm St
Morton Grove, IL 60053-3228

Phone

(224) 628-8870

NPI assigned

Nov 2, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1427358738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E FOREST AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181637",
            "telephone_number": "773-685-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 ELM ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533228",
            "telephone_number": "224-628-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBALA",
        "first_name": "RADOSLAW",
        "middle_name": "TOMASZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Kornblatt, MD
• Michael Kornblatt, MD
• Ami Kurani Kothari, M.D.
• Andrea Kramer, MD
• Minsook DO Kroon, D.C.
• Kwang Nam Lee MD
• Krista Lafferty, MS CF-SLP
• Rose Landau, BCBA
• Mary Ann Lauer
• Daniel S Lazar, M.D.

• Physical Therapy Assistant in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.