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

Keith Michael Kozeny, MD

Individual provider Procedural Dermatology Physician · NPI 1619971157

Keith Michael Kozeny, MD is a Dermatology in Buffalo Grove, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1982, 44 years ago. Practices with Scott D Glazer MD SC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 W Lake Cook Rd Ste 110
Buffalo Grove, IL 60089-2089
Phone: (847) 459-6611
Fax: (847) 459-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 036073084 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 036073084 (IL)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 036073084 (IL)

Record details

NPI number1619971157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESJanuary 5, 2016
Mailing address600 W Lake Cook Rd, Ste 110, Buffalo Grove, IL 60089-2089

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Scott D Glazer Md Sc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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