Robert C. Bosack, Dds & Associates, Ltd
LBN: Robert C. Bosack, Dds & Associates, Ltd
Robert C. Bosack, Dds & Associates, Ltd is an health care organization with primary practice located at 16011 108Th Ave Ste A , Orland Park IL 60467-8787. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Robert C. Bosack, Dds & Associates, Ltd can be contacted via phone (708) 460-9100, or through Bosack, Robert C. via phone (708) 460-9100.
Contact Information
Primary practice address
16011 108Th Ave Ste A
Orland Park IL 60467-8787
Phone: (708) 460-9100
Fax: (708) 460-7919
Website:
Authorized official contact:
Name: Bosack, Robert C. Doctor of Dental Surgery (DDS)
Phone: (708) 460-9100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 021.001152 | Illinois |
Profile Details
| NPI number | 1093232951 |
|---|---|
| LBN Legal business name | Robert C. Bosack, Dds & Associates, Ltd |
| DBA Doing business as | |
| Authorized official | Bosack, Robert C. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093232951 | NPPES |
| Illinois | MEDICAID | 1518250125 | |
| Illinois | MEDICAID | 1376550558 |
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