Organization
GENERALHEALTHGROUP OF ILLINOIS
Active
Parent organization
GENERALHEALTH GROUP INC
Other names
Dental Associates of Palos Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERALHEALTH GROUP INC
Authorized official
CHRISTOPHER ISABELLE DMD (DENTAL ASSOCIATE)
(708) 415-6507
Entity
Organization
Contact information
Practice address
11900 SOUTHWEST HWY STE 204, PALOS PARK, IL 60464-1307
(708) 448-5800
Mailing address
244 5TH AVE # L270, NEW YORK, NY 10001-7604
(917) 789-5058
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649654898
NPI
IL
Enumeration date
04/30/2022
Last updated
09/13/2023
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