Provider Demographics
NPI:1700949476
Name:DRS ADILMAN KATIN LUBAR LTD
Entity Type:Organization
Organization Name:DRS ADILMAN KATIN LUBAR LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUBAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-272-5336
Mailing Address - Street 1:666 DUNDEE RD
Mailing Address - Street 2:SUITE 802
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062
Mailing Address - Country:US
Mailing Address - Phone:847-272-5336
Mailing Address - Fax:847-272-9386
Practice Address - Street 1:666 DUNDEE RD
Practice Address - Street 2:SUITE 802
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-272-5336
Practice Address - Fax:847-272-9386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
639750Medicare ID - Type Unspecified