Christian Don Kubilius, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

K14210455366 Issued in IL

Practice address

11950 S Harlem Av
Ste 102
Palos Heights, IL 60463

Phone

(708) 361-5353

Fax

(708) 361-5320

NPI assigned

Dec 8, 2006

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

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699835058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AV",
            "address_2": "STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5353",
            "fax_number": "708-361-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AV",
            "address_2": "STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5353",
            "fax_number": "708-361-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBILIUS",
        "first_name": "CHRISTIAN",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "K14210455366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Richard Kross, NP-C
• David Krzysko, LCPC
• Cecylia Anna Krzysztofek, PTA
• Melissa Ktenas, LSW
• Jessica Kubicki, APRN, CNP
• Mary Kathleen Kuchta, MS, OTR/L
• Sharon Theresa Kuehn, MA CCC SLP
• Holly Kulovitz, PT
• Manjari Kumar, M.D.
• Irma Kuptel, MD

• General Practice Dentistry in Palos Heights, IL
• Providers in Palos Heights, 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 8, 2007; 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.