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Search › Illinois › 122300000X

Russell Bak, DDS

NPI 1659441301 · on the registry since 2006

Practice

Address
433 N Bolingbrook Drive
Suite 1
Bolingbrook, IL 60440
Phone
(630) 759-4191
Fax
(630) 759-4378
Organisation at this address
Russell J Bak Dds Pc
Gary A. Rodgers,Dds,Pc Dba Professional Center Of Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois