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Mr. Todd Michael Kubon, BA,MAMS,CCA
Anaplastologist in Riverside, Illinois
NPI 1164804142

Todd Michael Kubon is an Anaplastologist based in Riverside, IL. Todd Michael Kubon practices in Riverside, IL and has the professional credentials of BA,MAMS,CCA. The NPI Number for Todd Michael Kubon is 1164804142 and holds a License No. (Illinois).

The current practice location address for Todd Michael Kubon is 317 Nuttall Rd, Riverside, IL and can be reached out via phone at 312-978-1073.

Location: 317 Nuttall Rd, Riverside, IL, 60546-1804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164804142
Provider Name
Todd Michael Kubon
Credential
BA,MAMS,CCA
Provider Entity Type
Individual
Gender
Male
Address
317 Nuttall Rd, Riverside, IL, 60546-1804
Phone Number
312-978-1073
Fax Number
Provider Enumeration Date
06/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
229N00000X 01 IL WPC CODE
institution
Provider Business Practice Location Address Details
Address
317 Nuttall Rd
City
Riverside
State
Illinois
Zip
60546-1804
Phone Number
312-978-1073
Fax Number
person
Provider Business Mailing Address Details
Address
317 Nuttall Rd
City
Riverside
State
Illinois
Zip
60546-1804
Phone Number
312-978-1073
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
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