Igor Botvinnik Dds

LBN: Ibbi Dental Clinic Pc
Igor Botvinnik Dds is an health care organization with primary practice located at 7963 Golf Road , Morton Grove IL 60053. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ibbi Dental Clinic Pc can be contacted via phone (847) 583-0033, or through Botvinnik, Igor via phone (847) 583-0033.

Contact Information

Primary practice address
7963 Golf Road Morton Grove IL 60053
Fax: (847) 583-0013
Website:
Authorized official contact:
Name: Botvinnik, Igor Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1902941263
LBN Legal business name Ibbi Dental Clinic Pc
DBA Doing business as Igor Botvinnik Dds
Authorized official Botvinnik, Igor Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902941263 NPPES
Illinois MEDICAID 1004642

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