Blakkolb, Robin Brent

Blakkolb, Robin Brent is an individual health care provider with primary practice located at 6800 Main St Suite 106, Downers Grove IL 60516-3493. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Blakkolb, Robin Brent can be contacted via phone (630) 964-5880.

Contact Information

Primary practice address
6800 Main St Suite 106 Downers Grove IL 60516-3493
Phone: (630) 964-5880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021-001127 Illinois

Profile Details

NPI number 1508945437
LBN Legal business name Blakkolb, Robin Brent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 23rd, 2008 - about 16 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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