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General NPI Number Information
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NPI Number | 1760554646
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Entity Type | Organization
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Legal Business Name | JAMES W. SISLOW D.D.S. LTD.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 990 GRAND CANYON PKWY SUITE 117
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169
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Country | US
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Telephone | 847-843-8410
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Fax | 847-843-9184
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Provider Business Mailing Address
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Address Line | 990 GRAND CANYON PKWY SUITE 117
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169
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Country | US
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Telephone | 847-843-8410
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Fax | 847-843-9184
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JAMES WILLIAM SISLOW
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Credential | D.D.S.
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Telephone | 847-843-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30290
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | IL
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