Daniel James Kozubal in Aurora - Clinical
Daniel James Kozubal - NPI 1215037502
Daniel James Kozubal is a Clinical in Aurora, Illinois. Daniel James Kozubal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Daniel James Kozubal is 1215037502. The last update date is 2012-02-06.
Daniel James Kozubal's current location address is 412 North Lake St, Aurora, Illinois. You can contact this provider via phone number 6302447000 and fax number 8479615730. The mailing address for Daniel James Kozubal is 412 North Lake St, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel James Kozubal |
|---|---|
| Address | 412 North Lake St, Aurora, Illinois |
| Phone Number | 6302447000 |
| Fax Number | 8479615730 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1215037502 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
| Address | 412 North Lake St |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 60506 |
| Phone Number | 6302447000 |
| Fax Number | 8479615730 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71003041 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4572024 | IL | BLUE CROSS BLUE SHIELD | |
| 54497000 | MAGELLAN BEH HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Daniel James Kozubal by the Centers for Medicare & Medicaid Services?
The Daniel James Kozubal has been issued the NPI (National Provider Identifier) 1215037502 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Daniel James Kozubal's facilities are situated?
The facilities of Daniel James Kozubal are physically located at the following address: 412 North Lake St, Aurora, IL, 60506.
What is Daniel James Kozubal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Daniel James Kozubal is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215037502 to Daniel James Kozubal?
The Daniel James Kozubal received its 1215037502 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details pertaining to Daniel James Kozubal last refreshed?
The information related to the Daniel James Kozubal, including its address, specialty, and other relevant details, was last updated on 2012-02-06.
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