IndividualActive
Mark Koludrovic, DDS
NPI 1629146725 · General Practice Dentistry · Evergreen Park, IL
Mark Koludrovic, DDS is a General Practice Dentistry provider in Evergreen Park, IL (NPI 1629146725).
Provider details
- NPI number
- 1629146725
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19015134 (IL)
Practice location
9760 S Kedzie Ave Ste 4
Evergreen Park, IL 60805-3109
Phone: (708) 499-0379
Street-level locationGet directions
Mailing address
9760 S Kedzie Ave Ste 4
Evergreen Park, IL 60805-3109
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.