Skidmore, Angela Bogacki

Skidmore, Angela Bogacki is an sole proprietor health care provider with primary practice located at 988 S Bartlett Rd , Bartlett IL 60103-6500. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Skidmore, Angela Bogacki can be contacted via phone (630) 289-4288.

Contact Information

Primary practice address
988 S Bartlett Rd Bartlett IL 60103-6500
Fax: (630) 289-4468

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019025896 Illinois

Profile Details

NPI number 1720072762
LBN Legal business name Skidmore, Angela Bogacki
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated May 22nd, 2015 - about 7 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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