Bandyk, Robert

Bandyk, Robert is an individual health care provider with primary practice located at 18503 Torrence Ave , Lansing IL 60438-2839. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bandyk, Robert can be contacted via phone (708) 474-1900.

Contact Information

Primary practice address
18503 Torrence Ave Lansing IL 60438-2839
Fax: (708) 474-1037
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004010 Illinois

Profile Details

NPI number 1679587786
LBN Legal business name Bandyk, Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679587786 NPPES
Illinois Other 480014821 RR
Illinois MEDICAID 016004010 RR
Illinois Other 6000-1-555 RR

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