Wirtz, Robert J
Wirtz, Robert J is an sole proprietor health care provider with primary practice located at 15601 Cicero Ave Suite 102, Oak Forest IL 60452-3635. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wirtz, Robert J can be contacted via phone (708) 687-6600.Contact Information
Primary practice address
15601 Cicero Ave Suite 102
Oak Forest IL 60452-3635
Phone: (708) 687-6600
Fax: (708) 687-6639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
| NPI number | 1992875801 |
|---|---|
| LBN Legal business name | Wirtz, Robert J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| 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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