MEDICARE: CHRIS ISABELLE DMD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1437037603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS ISABELLE DMD PLLC

Provider Business Mailing Address
First Line	:	1720 S MICHIGAN AVE APT 2618
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-4858
Country	:	US
Telephone Number	:	708-415-6507
Fax Number	:

Provider Business Practice Location Address
First Line	:	4845 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2145
Country	:	US
Telephone Number	:	708-415-6507
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	CHRIS ISABELLE
Credential	:	DMD
Telephone Number	:	708-415-6507

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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