Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | IL |
NPI | 1124116470 |
---|---|
Provider Name | Dr. Norman L. Eskoz |
First Address | Mchenry, IL 60050-4010 |
Second Address | Mchenry, IL 60050-4010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 08/07/2007 |