| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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