Individual
DR. HOWARD ALLEN IZENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 FOUNTAIN VIEW DR, DEERFIELD, IL 60015-4847
(630) 248-1254
(847) 940-9532
Mailing address
912 FOUNTAIN VIEW DR, DEERFIELD, IL 60015-4847
(630) 248-1254
(847) 940-9532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-059939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000564544
ANTHEM
IN
01
—
01062800A
PHYSICIAN LICENSE
IN
01
—
036-059939
PHYSICIAN LICENSE
IL
05
—
200899740
—
IN
Enumeration date
02/08/2007
Last updated
03/07/2023
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