Individual
MR. ANDRE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL, 225 EAST CHICAGO AVE, CHICAGO, IL 60611
(312) 227-4000
Mailing address
1936 N. CLARK ST , APT 503, CHICAGO, IL 60614
(312) 871-7934
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
11/28/2018
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