Bazan, Robert Jan

Bazan, Robert Jan is an individual health care provider with primary practice located at 2260 W Irving Pk Rd , Hanover Pk IL 60133. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bazan, Robert Jan can be contacted via phone (630) 830-7890.

Contact Information

Primary practice address
2260 W Irving Pk Rd Hanover Pk IL 60133
Phone: (630) 830-7890
Fax: (630) 830-7002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019017925 Illinois

Profile Details

NPI number 1851458939
LBN Legal business name Bazan, Robert Jan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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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