Russell J Bak Dds Pc | |
433 N Bolingbrook Dr Suite 1 Bolingbrook IL 60440 | |
(630) 759-4191 | |
(630) 759-4378 |
Full Name | Russell J Bak Dds Pc |
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Speciality | Dentist - General Practice |
Location | 433 N Bolingbrook Dr, Bolingbrook, Illinois |
Authorized Official Name and Position | Russell J Bak (OWNER) |
Authorized Official Contact | 6307594191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell J Bak Dds Pc 433 N Bolingbrook Dr Suite 1 Bolingbrook IL 60440 Ph: (630) 759-4191 | Russell J Bak Dds Pc 433 N Bolingbrook Dr Suite 1 Bolingbrook IL 60440 Ph: (630) 759-4191 |
NPI Number | 1225108665 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 04/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225108665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19-024912 (Illinois) | Primary |
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