Healthcare Provider Details

I. General information

NPI: 1851207187
Provider Name (Legal Business Name): JOHN F. KOZAL DDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8704 RIDGELAND AVE
OAK LAWN IL
60453-1068
US

IV. Provider business mailing address

8704 RIDGELAND AVE
OAK LAWN IL
60453-1068
US

V. Phone/Fax

Practice location:
  • Phone: 708-458-8585
  • Fax: 708-423-5540
Mailing address:
  • Phone: 708-458-8585
  • Fax: 708-423-5540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN F KOZAL
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 708-458-8585