# HOCHSTADTER ISAACSON CHERNY DUMANIS & ASSOC MAXILLO SURGERY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154424778
- **Authorized official:** DR. RICHARD D ISAACSON DDS (CO PRESIDENT)
- **Authorized official phone:** (847) 296-6100

## Contact information

- **Practice address:** 444 N NORTHWEST HWY, STE 325, PARK RIDGE, IL 60068
- **Practice address phone:** (847) 296-6100
- **Practice address fax:** (847) 296-8706
- **Mailing address:** 444 N NORTHWEST HWY, STE 325, PARK RIDGE, IL 60068
- **Mailing address phone:** (847) 296-6100
- **Mailing address fax:** (847) 296-8706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021000387 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021000812 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021001197 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021002152 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021002167 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021022201 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 060008065 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 060008913 | IL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 060008914 | IL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 07/21/2015