John F. Kozal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

7336 Archer Ave
Summit, IL 60501-1230

Phone

(708) 458-8585

Fax

(708) 458-9663

NPI assigned

Mar 6, 2007

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John F. Kozal DDS LTD

  • Dental Clinic/Center
  • Oak Lawn, IL
  • NPI 1851207187
  NPD (past) Authorized official
• Kozal Chiropractic, P.C.

  • Chiropractor
  • Summit Argo, IL
  • NPI 1659632990
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992835219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 ARCHER AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011230",
            "telephone_number": "708-458-8585",
            "fax_number": "708-458-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 ARCHER AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011230",
            "telephone_number": "708-458-8585",
            "fax_number": "708-458-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAL",
        "first_name": "JOHN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafia Nawab Jabeen, DMD
• Lynette Jones
• Derya Keskin
• Eunice Kim, M.D.
• KM Physical Therapy PC
• Tina Marie Lakatos, LCSW
• Carmen Luckett, LPN
• Annemarie Luperini
• Mark Anthony Maciuszek, MA LCPC
• Tiara Magee

• Dentist in Summit, IL
• Providers in Summit, IL by specialty
• Dentist 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.
• 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.