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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639267511 | NPPES |
| Illinois | Other | 0080004915 | BLUE CROSS GROUP |
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