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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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