John C Kubasiak, M.D. Valid NPI

Individual provider · Surgical Critical Care Physician · Maywood, IL

NPI

1346533353

Type

Individual (Type 1)

Primary specialty

Surgical Critical Care Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2086S0102X

License number

036154132 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2011-05-24

Last updated

2021-06-16