Organization
HOFFMAN ESTATES LASER EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BUSHNICK M.D. (OWNER)
(847) 885-1200
Entity
Organization
Contact information
Practice address
1786 MOON LAKE BLVD, STE. 205, HOFFMAN ESTATES, IL 60194-5029
(847) 885-1200
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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