Organization
HOCHSTADTER ISAACSON CHERNY DUMANIS & ASSOC MAXILLO SURGERY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D ISAACSON DDS (CO PRESIDENT)
(847) 296-6100
Entity
Organization
Contact information
Practice address
444 N NORTHWEST HWY, STE 325, PARK RIDGE, IL 60068
(847) 296-6100
(847) 296-8706
Mailing address
444 N NORTHWEST HWY, STE 325, PARK RIDGE, IL 60068
(847) 296-6100
(847) 296-8706
Taxonomy
Speciality
Code
Description
License number
State
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)
Primary
060008913
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
060008914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080004915
BC
IL
Enumeration date
09/07/2006
Last updated
07/21/2015
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