| Vastlik, Ltd | |
|
101 S Oak Park Ave Oak Park IL 60302-2901 | |
| (708) 386-0960 | |
| Not Available |
| Full Name | Vastlik, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 S Oak Park Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Brendan Thomas Vastlik (OWNER / DENTIST) |
| Authorized Official Contact | 8159928393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vastlik, Ltd 2309 N Leavitt St Apt 3 Chicago IL 60647-3246 Ph: (815) 992-8393 | Vastlik, Ltd 101 S Oak Park Ave Oak Park IL 60302-2901 Ph: (708) 386-0960 |
| NPI Number | 1558177238 |
|---|---|
| Provider Enumeration Date | 12/06/2024 |
| Last Update Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558177238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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