| Gregory F. Kubik, Ltd | |
|
490 Coventry Ln Suite 200 Crystal Lake IL 60014-7548 | |
| (815) 455-7757 | |
| (815) 455-0905 |
| Full Name | Gregory F. Kubik, Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 490 Coventry Ln, Crystal Lake, Illinois |
| Authorized Official Name and Position | Gregory Frank Kubik (PRESIDENT) |
| Authorized Official Contact | 8154557757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory F. Kubik, Ltd 490 Coventry Ln Suite 200 Crystal Lake IL 60014-7548 Ph: (815) 455-7757 | Gregory F. Kubik, Ltd 490 Coventry Ln Suite 200 Crystal Lake IL 60014-7548 Ph: (815) 455-7757 |
| NPI Number | 1861578163 |
|---|---|
| Provider Enumeration Date | 10/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861578163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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