Russell J. Bak, DDS

Dentist · Bolingbrook, IL

Individual Active NPI

NPI number 1659441301

Practice location

433 N Bolingbrook Drive
Suite 1
Bolingbrook, IL 60440
Phone
(630) 759-4191
Fax
(630) 759-4378

Open in Google Maps

NPI record

NPI
1659441301
Entity type
Individual (Type 1)
Enumeration date
November 9, 2006
Last updated
April 24, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 19-024912 IL

About Dr. Bak

Russell J. Bak, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 433 N Bolingbrook Drive, Suite 1, Bolingbrook, IL 60440. The NPI number 1659441301 was assigned on November 9, 2006 and the record was last updated on April 24, 2019.

Dr. Bak lists a license in the registry: #19-024912 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Russell J. Bak, DDS?

The NPI number is 1659441301.

What is the phone number of Dr. Bak?

The phone number listed for the practice location is (630) 759-4191.

Where is Dr. Bak located?

433 N Bolingbrook Drive, Suite 1, Bolingbrook, IL 60440.

What is the taxonomy code for Dr. Bak?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Bolingbrook

All Dentist providers in Bolingbrook, IL →