Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Walter John Kozin, DDS

Individual provider Dentist · NPI 1104069533

Dr. Walter John Kozin, DDS is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1657 W Adams St Ground Fl - Dental
Chicago, IL 60612-3201
Phone: (312) 738-0762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019025311 (IL)

Record details

NPI number1104069533
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESApril 15, 2009
Mailing address1657 W Adams St, Ground Floor - Dental, Chicago, IL 60612-3201

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