Dolitsky, Bruce R
Dolitsky, Bruce R is an individual health care provider with primary practice located at 12255 S 80Th Ave , Palos Heights IL 60463-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dolitsky, Bruce R can be contacted via phone (708) 923-4400.Contact Information
Primary practice address
12255 S 80Th Ave
Palos Heights IL 60463-1270
Phone: (708) 923-4400
Fax: (708) 923-4421
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036065042 | Illinois |
Profile Details
NPI number | 1356330286 |
---|---|
LBN Legal business name | Dolitsky, Bruce R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Nov 29th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356330286 | NPPES |
Illinois | MEDICAID | 036065042 |
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