Edison A Ishaya in Chicago - General Practice
Edison A Ishaya - NPI 1124156773
Edison A Ishaya is a General Practice in Chicago, Illinois. Edison A Ishaya practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edison A Ishaya is 1124156773. The last update date is 2007-07-09.
Edison A Ishaya's current location address is 3855 W North Ave, Chicago, Illinois. You can contact this provider via phone number 7737828900 and fax number 7737820577. The mailing address for Edison A Ishaya is 3855 W North Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edison A Ishaya |
|---|---|
| Address | 3855 W North Ave, Chicago, Illinois |
| Phone Number | 7737828900 |
| Fax Number | 7737820577 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124156773 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3855 W North Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606474640 |
| Phone Number | 7737828900 |
| Fax Number | 7737820577 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103068 | IL | -- | |
| 1002613 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Edison A Ishaya by the Centers for Medicare & Medicaid Services?
The Edison A Ishaya has been issued the NPI (National Provider Identifier) 1124156773. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Edison A Ishaya's facilities are situated?
The facilities of Edison A Ishaya are physically located at the following address: 3855 W North Ave, Chicago, IL, 606474640.
What is Edison A Ishaya's area of expertise and its corresponding taxonomy classification?
The Edison A Ishaya's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Edison A Ishaya receive its 1124156773 assignment from the Centers for Medicare & Medicaid Services?
The Edison A Ishaya was assigned its 1124156773 by the Centers for Medicare & Medicaid Services on 2007-03-02.
As of what date were the Edison A Ishaya's details last updated?
The information pertaining to the Edison A Ishaya, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1720081763
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