Provider Demographics
NPI:1922121417
Name:RICHARD J. VOLK D.D.S. PC
Entity Type:Organization
Organization Name:RICHARD J. VOLK D.D.S. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-352-5100
Mailing Address - Street 1:331 S MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4496
Mailing Address - Country:US
Mailing Address - Phone:630-830-4000
Mailing Address - Fax:630-830-4003
Practice Address - Street 1:331 S MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4496
Practice Address - Country:US
Practice Address - Phone:630-830-4000
Practice Address - Fax:630-830-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190016900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty