Provider Demographics
NPI:1679847388
Name:DOBRZYNSKI, KEVIN RICHARD (DN)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:RICHARD
Last Name:DOBRZYNSKI
Suffix:
Gender:M
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S WASHINGTON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4139
Mailing Address - Country:US
Mailing Address - Phone:630-734-3959
Mailing Address - Fax:630-734-3959
Practice Address - Street 1:50 S WASHINGTON ST STE 201
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4139
Practice Address - Country:US
Practice Address - Phone:630-734-3959
Practice Address - Fax:630-734-3959
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181.000270172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath