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

Gene Michael Kubacki, DO

Individual provider Family Medicine Physician · NPI 1275680258

Gene Michael Kubacki, DO is a Family Medicine Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Mississippi.

Licensed in
IL, MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1029 E 130th St
Chicago, IL 60628
Phone: (773) 995-6300
Fax: (601) 376-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036098945 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 16884 (MS)

Record details

NPI number1275680258
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 4, 2007
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address2932 W Ludwig Rd, Fort Wayne, IN 46818-1328

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