IndividualActive
Aida Bosnjak, RDH, OMT,BBP
NPI 1912406455 · Dental Hygienist · Lake Forest, IL
Provider details
- NPI number
- 1912406455
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH, OMT,BBP
- Sex
- Female
- Sole proprietor
- No
- License
- 020.010057 (IL)
Specialties & taxonomies
Dental Providers
Practice location
825 S Waukegan Rd
Lake Forest, IL 60045-2696
Phone: (847) 234-4800
Approximate (ZIP-level) locationGet directions
Mailing address
825 S Waukegan Rd
Lake Forest, IL 60045-2696
Registry dates
- Enumerated
- 2018-02-11
- Last updated
- 2018-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.