Provider Demographics
NPI:1881898674
Name:OSLAK, ROBERT RUD (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RUD
Last Name:OSLAK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9999 W ROOSEVELT RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2775
Mailing Address - Country:US
Mailing Address - Phone:708-344-0724
Mailing Address - Fax:
Practice Address - Street 1:9999 W ROOSEVELT RD
Practice Address - Street 2:SUITE 106
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2775
Practice Address - Country:US
Practice Address - Phone:708-344-0724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice