Flick, William Gustav
Flick, William Gustav is an sole proprietor health care provider with primary practice located at 6305 W 95Th St Suite 301, Oak Lawn IL 60453-2255. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Flick, William Gustav can be contacted via phone (708) 425-4300.Contact Information
Primary practice address
6305 W 95Th St Suite 301
Oak Lawn IL 60453-2255
Phone: (708) 425-4300
Fax: (708) 425-4310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019.014839 | Illinois |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 137000009 | Illinois |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 137000009 | Illinois |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 021001050 | Illinois |
Profile Details
| NPI number | 1871696922 |
|---|---|
| LBN Legal business name | Flick, William Gustav |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
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 | 1871696922 | NPPES |
| Illinois | Other | 0040121107 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 0091640652 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 0091640653 | BLUE CROSS BLUE SHIELD |
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