DR. ROBERT C. BOSACK (NPI# 1376550558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376550558 |
| Entity Type | Individual |
| Full Name | DR. ROBERT C. BOSACK |
| Credential | DDS |
| Practice Address |
16011 108th Ave Orland Park IL 60467-8786 |
| Practice Telephone | 7084609100 |
| Practice Fax Number | 7084607919 |
| Mailing Telephone | 7084609100 |
| Mailing Fax Number | 7084607919 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
| Street Address |
16011 108TH AVE |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-8786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894969 | Alka Kale | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467 | 2005-07-12 |
| 1124373295 | Whitney Jean Sigala | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2012-07-16 |
| 1861799603 | Nancy Tunney Grady | Registered Nurse | 16011 108th Ave, Orland Park, IL 60467-8786 | 2011-02-14 |
| 1518108059 | Elizabeth Yepez | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2009-03-12 |
| 1740359785 | Nadine Bokowski | Nurse Practitioner | 16011 108th Ave, Orland Park, IL 60467-8786 | 2006-11-06 |
| 1699721134 | Ob-gyn Health Associates Sc | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2006-05-26 |
| 1538160148 | Herlanders Williams | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2005-08-04 |
| 1447251053 | Edward Ryan | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2005-08-04 |
| 1639170335 | Lawrence Boysen | Obstetrics & Gynecology | 16011 108th Ave, Orland Park, IL 60467-8786 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1356606255 | Harshiv J Vyas | Dentist | 15300 West Ave Ste 113, Orland Park, IL 60462-4685 | 2012-07-07 |
| 1801966478 | Bryon C Bouchelion | Dentist | 10713 W 159th St, Orland Park, IL 60467 | 2006-11-09 |
| 1154433274 | Salvatore J Termini | Dentist | 9535 W 144th Pl, Orland Park, IL 60462-2556 | 2006-08-31 |
| 1063814796 | Oral & Maxillofacial Surgery of Chicago | Dentist | 15300 West Ave, Orland Park, IL 60462-4600 | 2014-09-25 |
| 1053604413 | Rahul Tandon | Dentist | 10713 W 159th St, Orland Park, IL 60467-4531 | 2011-05-18 |
| 1669620902 | Op Dental Co Ltd | Dentist | 15300 West Ave, Suite 113, Orland Park, IL 60462 | 2008-08-28 |
| 1720271562 | Sunil P Sinha | Dentist | 15300 West Ave, Suite 113, Orland Park, IL 60462-4600 | 2007-08-24 |
| 1609947498 | Louis N Korompilas Dds PC | Dentist | 10713 W 159th St, Orland Park, IL 60467 | 2006-11-13 |
| 1871664672 | Louis N Korompilas | Dentist | 10713 W 159th St, Orland Park, IL 60467 | 2006-11-13 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.