# HOFFMAN ESTATES LASER EQUIPMENT, LLC

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

## Provider details

- **NPI number:** 1457473837
- **Authorized official:** DR. PHILIP BUSHNICK M.D. (OWNER)
- **Authorized official phone:** (847) 885-1200

## Contact information

- **Practice address:** 1786 MOON LAKE BLVD, STE. 205, HOFFMAN ESTATES, IL 60194-5029
- **Practice address phone:** (847) 885-1200
- **Mailing address:** 11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 471-5852
- **Mailing address fax:** (310) 471-3958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020