Individual
DR. ROBERT BANDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
18503 TORRENCE AVE, LANSING, IL 60438-2839
(708) 474-1900
(708) 474-1037
Mailing address
18503 TORRENCE AVE, LANSING, IL 60438-2839
(708) 474-1900
(708) 474-1037
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004010
—
IL
01
—
480014821
RR
IL
01
—
6000-1-555
BC/BS
IL
Enumeration date
07/27/2006
Last updated
03/07/2023
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