Ata, Ronnie A

Ata, Ronnie A is an individual health care provider with primary practice located at 12601 Western Ave Ste B , Blue Island IL 60406-1777. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ata, Ronnie A can be contacted via phone (708) 293-1903.

Contact Information

Primary practice address
12601 Western Ave Ste B Blue Island IL 60406-1777
Phone: (708) 293-1903
Fax: (708) 293-1909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.031817 Illinois

Profile Details

NPI number 1629569546
LBN Legal business name Ata, Ronnie A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2018
Last updated Sep 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers