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Mark Koludrovic, DDS
NPI 1629146725 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9760 S Kedzie Ave Ste 4
Evergreen Park, IL 60805 - Phone
- (708) 499-0379
- Organisation at this address
- The Headache Lab
Cgt Medical, Pllc
Wellcare Pharmacy Llc
Park Primary Care Ltd
Evergreen Care Center LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois