Individual
DR. DAVID G. ITZKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1525 E 53RD ST, SUITE 604, CHICAGO, IL 60615-4557
(773) 752-7888
Mailing address
1525 E 53RD ST, SUITE 604, CHICAGO, IL 60615-4557
(773) 752-7888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0019-018776
IL
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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