MR. Todd Michael Kubon, BA, MAMS, CCA is an anaplastologist in Riverside, IL. The provider is 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). MR. Todd Michael Kubon, BA, MAMS, CCA NPI is 1164804142. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
317 NUTTALL RD
RIVERSIDE, IL
ZIP 60546-804
Phone: (312) 978-1073
The enumeration date for this NPI number is 6/25/2015 and was last updated on 6/25/2015.