Todd Michael Kubon, BA, MAMS, CCA

Anaplastologist · Riverside, IL

Individual Active NPI

NPI number 1164804142

Practice location

317 Nuttall Rd
Riverside, IL 60546-1804
Phone
(312) 978-1073

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NPI record

NPI
1164804142
Entity type
Individual (Type 1)
Enumeration date
June 25, 2015
Last updated
June 25, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anaplastologist Primary 229N00000X — —

About Todd Kubon

Todd Michael Kubon, BA, MAMS, CCA is a healthcare provider registered in the NPI registry with the primary taxonomy Anaplastologist (code 229N00000X). The practice location is 317 Nuttall Rd, Riverside, IL 60546-1804. The NPI number 1164804142 was assigned on June 25, 2015 and the record was last updated on June 25, 2015.

Frequently asked questions

What is the NPI number of Todd Michael Kubon, BA, MAMS, CCA?

The NPI number is 1164804142.

What is the phone number of Todd Kubon?

The phone number listed for the practice location is (312) 978-1073.

Where is Todd Kubon located?

317 Nuttall Rd, Riverside, IL 60546-1804.

What is the taxonomy code for Todd Kubon?

The primary taxonomy code is 229N00000X – Anaplastologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.