Provider Demographics
NPI:1922122571
Name:BASTIAN VOICE INSTITUTE, LLC
Entity Type:Organization
Organization Name:BASTIAN VOICE INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-724-1100
Mailing Address - Street 1:3010 HIGHLAND PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-5545
Mailing Address - Country:US
Mailing Address - Phone:630-724-1100
Mailing Address - Fax:
Practice Address - Street 1:3010 HIGHLAND PKWY STE 250
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5545
Practice Address - Country:US
Practice Address - Phone:630-724-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DA6498OtherRAILROAD MEDICARE
IL9000847152003OtherHUMANA HMO
IL=========003OtherUNICARE
DA6498OtherRAILROAD MEDICARE
IL9000847152003OtherHUMANA HMO
IL9000847152003OtherHUMANA HMO