Umbricht, Russell Paul

Umbricht, Russell Paul is an individual health care provider with primary practice located at 404 Lathrop Ave , River Forest IL 60305-1810. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Umbricht, Russell Paul can be contacted via phone (708) 366-8909.

Contact Information

Primary practice address
404 Lathrop Ave River Forest IL 60305-1810
Fax: (708) 366-8909
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19A13481 Illinois

Profile Details

NPI number 1922265933
LBN Legal business name Umbricht, Russell Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 16 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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