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Individual

DR. ROBERT C. BOSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
16011 108TH AVE, ORLAND PARK, IL 60467-8786
(708) 460-9100
(708) 460-7919
Mailing address
16011 108TH AVE, ORLAND PARK, IL 60467-8786
(708) 460-9100
(708) 460-7919

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
IL

Other

Enumeration date
08/01/2006
Last updated
01/22/2008
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