# ROBERT C. BOSACK, DDS & ASSOCIATES, LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093232951
- **Authorized official:** DR. ROBERT C. BOSACK DDS (OWNER/ORAL SURGEON)
- **Authorized official phone:** (708) 460-9100

## Contact information

- **Practice address:** 16011 108TH AVE STE A, ORLAND PARK, IL 60467-8787
- **Practice address phone:** (708) 460-9100
- **Practice address fax:** (708) 460-7919
- **Mailing address:** 16011 108TH AVE STE A, ORLAND PARK, IL 60467-8787
- **Mailing address phone:** (708) 460-9100
- **Mailing address fax:** (708) 460-7919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021.001152 | IL | Yes |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 07/21/2022