Bongard, Richard H

Bongard, Richard H is an individual health care provider with primary practice located at Tinley Park Mental Health Center 7400 West 183Rd Street, Tinley Park IL 60477-3695. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bongard, Richard H can be contacted via phone (708) 614-4000.

Contact Information

Primary practice address
Tinley Park Mental Health Center 7400 West 183Rd Street Tinley Park IL 60477-3695
Phone: (708) 614-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36056637 Illinois

Profile Details

NPI number 1730174053
LBN Legal business name Bongard, Richard H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 17 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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