Individual
ISABEL ANNE PENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
343 W WOLF POINT PLZ UNIT 306, CHICAGO, IL 60654-8898
(208) 755-6575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032773
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019032773
IL
Other
Enumeration date
04/29/2020
Last updated
02/17/2025
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