Robert Jan Bazan, DDS is a
Dentist based in Hanover Pk, Illinois. Robert Jan Bazan is licensed to practice in Illinois (license number 019017925) and his current practice location is
2260 W Irving Pk Rd, Hanover Pk, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 830-7890.
NPI number for Robert Jan Bazan is 1851458939 and his current mailing address is 2260 W Irving Park Road, Hanover Pk, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851458939.
Healthcare Provider's Profile
| Full Name | Robert Jan Bazan |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 2260 W Irving Pk Rd, Hanover Pk, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851458939
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert Jan Bazan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851458939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 019017925 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Jan Bazan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Robert Jan Bazan, DDS 2260 W Irving Park Road, Hanover Pk, IL 60133 Ph: (630) 830-7890 | Robert Jan Bazan, DDS 2260 W Irving Pk Rd, Hanover Pk, IL 60133 Ph: (630) 830-7890 |
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