Blazek, Peter E

Blazek, Peter E is an sole proprietor health care provider with primary practice located at 2839 83Rd St , Darien IL 60561-5612. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blazek, Peter E can be contacted via phone (630) 985-5000.

Contact Information

Primary practice address
2839 83Rd St Darien IL 60561-5612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19-16456 Illinois

Profile Details

NPI number 1669597340
LBN Legal business name Blazek, Peter E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Sep 11th, 2007 - about 18 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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