IndividualActive
John Kubasiak, M.D.
NPI 1346533353 · Surgical Critical Care Physician · Maywood, IL
Provider details
- NPI number
- 1346533353
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 125059135 (IL)
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.