Dor, Isaac
Dor, Isaac is an sole proprietor health care provider with primary practice located at 1790 Nations Dr Ste 111 , Gurnee IL 60031-9175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dor, Isaac can be contacted via phone (224) 656-5867.Contact Information
Primary practice address
1790 Nations Dr Ste 111
Gurnee IL 60031-9175
Phone: (224) 656-5867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036101942 | Illinois |
Profile Details
| NPI number | 1982718409 |
|---|---|
| LBN Legal business name | Dor, Isaac |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Nov 8th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982718409 | NPPES |
| Illinois | MEDICAID | 036101942 | |
| Illinois | Other | 708520 |
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