Provider Demographics
NPI:1437037603
Name:CHRIS ISABELLE DMD PLLC
Entity type:Organization
Organization Name:CHRIS ISABELLE DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ISABELLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:708-415-6507
Mailing Address - Street 1:1720 S MICHIGAN AVE APT 2618
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4858
Mailing Address - Country:US
Mailing Address - Phone:708-415-6507
Mailing Address - Fax:
Practice Address - Street 1:4845 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2145
Practice Address - Country:US
Practice Address - Phone:708-415-6507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental