Anastasia Kozal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033783 Issued in IL

Practice address

7336 W Archer Ave
Summit Argo, IL 60501-2161

Phone

(708) 458-8585

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1720718448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 W ARCHER AVE",
            "city": "SUMMIT ARGO",
            "state": "IL",
            "postal_code": "605012161",
            "telephone_number": "708-458-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 W ARCHER AVE",
            "city": "SUMMIT ARGO",
            "state": "IL",
            "postal_code": "605012161",
            "telephone_number": "708-458-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10844 S Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604535404",
            "country_code": "US",
            "telephone_number": "708-636-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZAL",
        "first_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Town LTD
• Gal Center of Hope LLC
• Kozal Chiropractic, P.C.
• Daniel A. Kozal, D.C.
• Deisy Lopez-Rosales, LMT
• Naela Fatima Sayeeduddin
• Anna Ziaja-Castillo, ED.S.

• General Practice Dentistry in Summit Argo, IL
• Providers in Summit Argo, 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 Jun 15, 2022; 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.