Dr. Eric Jay Eisen
Orthodontists
710 Robert York Ave Ste A
Deerfield
, Illinois 60015-4343
Dr. Eric Jay Eisen
Orthodontists
710 Robert York Ave Ste A
Deerfield
, Illinois 60015-4343
(847) 444-0033
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Eric Jay Eisen
- 710 Robert York Ave Ste A
- Deerfield, IL
- Zip : 60015-4343
- Fax : (847) 444-0033
- Phone : (847) 444-0022
Second Address
- Dr. Eric Jay Eisen
- 710 Robert York Ave Ste A
- Deerfield, IL
- Zip : 60015-4343
- Fax : (847) 444-0033
- Phone : (847) 444-0022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | IL |
National Provider Identifier
| NPI | 1043498868 |
|---|---|
| Provider Name | Dr. Eric Jay Eisen |
| First Address | Deerfield, IL 60015-4343 |
| Second Address | Deerfield, IL 60015-4343 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.