Bastian, Robert W

Bastian, Robert W is an individual health care provider with primary practice located at 3010 Highland Pkwy Suite 550, Downers Grove IL 60515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bastian, Robert W can be contacted via phone (630) 724-1100.

Contact Information

Primary practice address
3010 Highland Pkwy Suite 550 Downers Grove IL 60515
Phone: (630) 724-1100
Fax: (630) 724-0084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036059793 Illinois

Profile Details

NPI number 1184713455
LBN Legal business name Bastian, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 10th, 2014 - about 10 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 1184713455 NPPES
Illinois MEDICAID 90008415246206

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