Search › Illinois › 204E00000X
David Reisberg, DDS
NPI 1952485096 · on the registry since 2006
Practice
- Address
- 811 S. Paulina St.
Mc 588
Chicago, IL 60612 - Phone
- (312) 996-6933
- Fax
- (312) 355-4173
- Organisation at this address
- Cranial Technologies, Inc.
The Board Of Trustees Of The University Of IllinoisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 1223P0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois