| Mark Kolozenski, DDS, MS, PC | |
|
10083 W Lincoln Hwy Frankfort IL 60423-1272 | |
| (815) 201-1000 | |
| (815) 201-1111 |
| Full Name | Mark Kolozenski, DDS, MS, PC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10083 W Lincoln Hwy, Frankfort, Illinois |
| Authorized Official Name and Position | Mark a Kolozenski (DENTIST/OWNER) |
| Authorized Official Contact | 8152011000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Kolozenski, DDS, MS, PC 10083 W Lincoln Hwy Frankfort IL 60423-1272 Ph: (815) 201-1000 | Mark Kolozenski, DDS, MS, PC 10083 W Lincoln Hwy Frankfort IL 60423-1272 Ph: (815) 201-1000 |
| NPI Number | 1215345939 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215345939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 021001669 (Illinois) | Primary |
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