Reisberg, David Joel
Reisberg, David Joel is an individual health care provider with primary practice located at 811 S. Paulina St. Mc 588, Chicago IL 60612-4305. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Reisberg, David Joel can be contacted via phone (312) 996-6933.Contact Information
Primary practice address
811 S. Paulina St. Mc 588
Chicago IL 60612-4305
Phone: (312) 996-6933
Fax: (312) 355-4173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 019017383 | Illinois |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 019-017383 | Illinois |
Profile Details
| NPI number | 1952485096 |
|---|---|
| LBN Legal business name | Reisberg, David Joel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Dec 9th, 2019 - about 7 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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