MEDICARE: BASTIAN VOICE INSTITUTE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DA6498	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9000847152003	OTHER	IL	HUMANA HMO

General Provider Information

NPI Number	:	1922122571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASTIAN VOICE INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	3010 HIGHLAND PKWY STE 250
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5545
Country	:	US
Telephone Number	:	630-724-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 HIGHLAND PKWY STE 250
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5545
Country	:	US
Telephone Number	:	630-724-1100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT BASTIAN
Credential	:
Telephone Number	:	630-724-1100

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/05/2024

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Directions to “BASTIAN VOICE INSTITUTE, LLC ” Practice Location

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