Isaacson, Richard D

Isaacson, Richard D is an individual health care provider with primary practice located at 444 N Northwest Hwy Ste 325, Park Ridge IL 60068. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Isaacson, Richard D can be contacted via phone (847) 296-6100.

Contact Information

Primary practice address
444 N Northwest Hwy Ste 325 Park Ridge IL 60068
Phone: (847) 296-6100
Fax: (847) 296-8706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19016864 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021001197 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 137000092 Illinois

Profile Details

NPI number 1639267511
LBN Legal business name Isaacson, Richard D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 11th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639267511 NPPES
Illinois Other 0080004915 BLUE CROSS GROUP

Popular Providers