Provider Demographics
NPI:1407415060
Name:BOBIS DENTERPRISES, INC.
Entity Type:Organization
Organization Name:BOBIS DENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-868-9213
Mailing Address - Street 1:828 DAVIS ST STE 307
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4443
Mailing Address - Country:US
Mailing Address - Phone:847-868-9213
Mailing Address - Fax:847-868-3416
Practice Address - Street 1:828 DAVIS ST STE 307
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4443
Practice Address - Country:US
Practice Address - Phone:847-868-9213
Practice Address - Fax:847-868-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health