Robert W Bastian MD

NPI 1184713455 - Otolaryngology - 207Y00000X

NPI Details
NPI 1184713455
Gender Male
Enumeration Date 10/12/2006
Last Updated 01/10/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3010 HIGHLAND PKWY
SUITE 550
DOWNERS GROVE IL, 60515, US
Phone (630) 724-1100
Fax (630) 724-0084
Business Location
3010 HIGHLAND PKWY
SUITE 550
DOWNERS GROVE IL, 60515, US
Phone (630) 724-1100
Fax (630) 724-0084
Toxanomy
Taxonomy Code 207Y00000X
License State Illinois
License Number 036059793
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According to our database, Robert W Bastian MD NPI is 1184713455, taxonomy code is 207Y00000X and license number is 036059793, license state is located at Illinois. Robert W Bastian MD physically located at 3010 Highland Pkwy, Downers Grove IL, 60515. NPI Number Robert W Bastian MD has the Individual type.

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1184713455 NPI number is provided on an as is basis without warranty of any kind. 1184713455 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Bastian MD are for informational purposes only.