Douglas Isa

NPI #1912706417 in North Chicago, Illinois

Provider Information

NPI Number: 1912706417
Entity Type: Individual
Name: Douglas Isa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 10, 2025
Last Updated: Mar 10, 2025

Practice Location

Address: 3333 GREEN BAY RD
City: North Chicago
State: Illinois
ZIP Code: 60064-3037
Phone: (847) 578-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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