Individual
DR. ISAAC DOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1790 NATIONS DR STE 111, GURNEE, IL 60031-9175
(224) 656-5867
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036101942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101942
—
IL
01
—
708520
BCBS OF IL
IL
Enumeration date
08/19/2006
Last updated
11/08/2022
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