Kozubal, Daniel James

Kozubal, Daniel James is an sole proprietor health care provider with primary practice located at 412 North Lake St Ste 203, Aurora IL 60506. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kozubal, Daniel James can be contacted via phone (630) 244-7000.

Contact Information

Primary practice address
412 North Lake St Ste 203 Aurora IL 60506
Phone: (630) 244-7000
Fax: (847) 961-5730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071003041 Illinois

Profile Details

NPI number 1215037502
LBN Legal business name Kozubal, Daniel James
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Feb 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215037502 NPPES
Illinois Other 0004572024 BLUE CROSS BLUE SHIELD
Illinois Other 054497000 BLUE CROSS BLUE SHIELD

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