IndividualActive
Colbern Josefchak, D.D.S
NPI 1902609134 · Oral and Maxillofacial Surgery (Dentist) · Maywood, IL
Provider details
- NPI number
- 1902609134
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- 018.002304 (IL)
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 327-3041
Fax: (708) 327-3489
Mailing address
2627 Severance St
Los Angeles, CA 90007-2531
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.