DR. MARK ANTHONY KOLUDROVIC DDS
NPI 1629146725
Dentist - General Practice in Evergreen Park, IL

Q: What is Mark Koludrovic's NPI number?

The NPI number for Mark Koludrovic is 1629146725. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Mark Koludrovic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Koludrovic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2006

9760 S KEDZIE AVE STE 4, EVERGREEN PARK, IL 60805(708) 499-0379 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Anthony Koludrovic Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK ANTHONY KOLUDROVIC DDS (NPI 1629146725) is an individual general practice provider in Evergreen Park, Illinois, licensed in Illinois (19015134) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1629146725

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK ANTHONY KOLUDROVICCredential: DDS

Location Address9760 S KEDZIE AVE STE 4Evergreen Park, IL 60805-3109

Mailing Address9760 S Kedzie Ave Ste 4Evergreen Park, IL 60805-3109 · (708) 499-0379

Phone(708) 499-0379

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629146725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 19015134

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9760 S KEDZIE AVE STE 4, Evergreen Park, IL 60805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Koludrovic's NPI number?

The NPI number for Mark Koludrovic is 1629146725. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Mark Koludrovic located?

Mark Koludrovic practices at 9760 S Kedzie Ave Ste 4, Evergreen Park, IL 60805. The listed phone number is (708) 499-0379.

What is Mark Koludrovic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Koludrovic accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Mark Koludrovic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Koludrovic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.