| NPI | 1154424778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D ISAACSON Co President 847-296-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 060008913) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 060008065) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 060008914) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021000812) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021001197) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021022201) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021002152) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021002167) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021000387) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-07-21 |