Liss, Ronald

Liss, Ronald is an individual health care provider with primary practice located at 1000 Grand Canyon Parkway Suite 106, Hoffman Estates IL 60169-1705. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Liss, Ronald can be contacted via phone (847) 519-0600.

Contact Information

Primary practice address
1000 Grand Canyon Parkway Suite 106 Hoffman Estates IL 60169-1705
Phone: (847) 519-0600
Fax: (847) 519-0693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 19022882 Illinois

Profile Details

NPI number 1336220821
LBN Legal business name Liss, Ronald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 29th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336220821 NPPES
Illinois Other 31552 BLUE CROSS BLUE SHIELD

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