Brasky, Theodore Edmund
Brasky, Theodore Edmund is an individual health care provider with primary practice located at 15300 West Ave Suite 111, Orland Park IL 60462-4600. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brasky, Theodore Edmund can be contacted via phone (708) 349-1515.Contact Information
Primary practice address
15300 West Ave Suite 111
Orland Park IL 60462-4600
Phone: (708) 349-1515
Fax: (708) 349-1519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-013313 | Illinois |
Profile Details
| NPI number | 1609077999 |
|---|---|
| LBN Legal business name | Brasky, Theodore Edmund |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| 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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