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Contact Information

JEFF BANG, DMD
421 IL-173
ANTIOCH, IL60002
 Phone: 224-788-7348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFF BANG · (Male)

NPI # 1033895453
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/22/2023
Last updated 06/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019.034339
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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