DOUGLAS ISA

MAYWOOD, IL
NPI1912706417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.087654)
Enumeration Date2025-03-10
Last Update Date2026-05-28
Business Address
DOUGLAS ISA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
Mailing Address
DOUGLAS ISA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
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