Marietta A Bufalino Inc
LBN: Marietta A Bufalino Inc
Marietta A Bufalino Inc is an health care organization with primary practice located at 4005 1 2 Algonquin Rd , Rolling Meadows IL 60008. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Marietta A Bufalino Inc can be contacted via phone (847) 397-6060, or through Bufalino, Marietta A via phone (847) 397-6060.
Contact Information
Primary practice address
4005 1 2 Algonquin Rd
Rolling Meadows IL 60008
Phone: (847) 397-6060
Fax: (847) 397-6063
Website:
Authorized official contact:
Name: Bufalino, Marietta A Doctor of Dental Surgery (DDS)
Phone: (847) 397-6060
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019019069 | Illinois |
Profile Details
| NPI number | 1952453979 |
|---|---|
| LBN Legal business name | Marietta A Bufalino Inc |
| DBA Doing business as | |
| Authorized official | Bufalino, Marietta A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 12th, 2011 - about 15 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 | 1952453979 | NPPES |
| Illinois | Other | 019019069 | STATE LICENSE |
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