Black, Lisa

Black, Lisa is an individual health care provider with primary practice located at 1020 S Arlington Heights Rd , Arlington Heights IL 60005-3169. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Black, Lisa can be contacted via phone (847) 253-5100.

Contact Information

Primary practice address
1020 S Arlington Heights Rd Arlington Heights IL 60005-3169
Phone: (847) 253-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 019031513 Illinois

Profile Details

NPI number 1316471873
LBN Legal business name Black, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Sep 16th, 2024 - about 2 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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