Flick, William Gustav

Flick, William Gustav is an sole proprietor health care provider with primary practice located at 6305 W 95Th St Suite 301, Oak Lawn IL 60453-2255. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Flick, William Gustav can be contacted via phone (708) 425-4300.

Contact Information

Primary practice address
6305 W 95Th St Suite 301 Oak Lawn IL 60453-2255
Phone: (708) 425-4300
Fax: (708) 425-4310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019.014839 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 137000009 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 137000009 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 021001050 Illinois

Profile Details

NPI number 1871696922
LBN Legal business name Flick, William Gustav
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Oct 25th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871696922 NPPES
Illinois Other 0040121107 BLUE CROSS BLUE SHIELD
Illinois Other 0091640652 BLUE CROSS BLUE SHIELD
Illinois Other 0091640653 BLUE CROSS BLUE SHIELD

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