Radovan, Andrew I
Radovan, Andrew I is an individual health care provider with primary practice located at 3001 6Th St Ste A , Great Lakes IL 60088-2833. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Radovan, Andrew I can be contacted via phone (847) 688-2100.Contact Information
Primary practice address
3001 6Th St Ste A
Great Lakes IL 60088-2833
Phone: (847) 688-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 40488 | California |
Profile Details
| NPI number | 1548226111 |
|---|---|
| LBN Legal business name | Radovan, Andrew I |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Oct 30th, 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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