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NPI Code Detail

MEDICARE: DR. MASIE VOY ISABELL MD

MEDICARE: DR. MASIE VOY ISABELL MD
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
1207Q00000XFamily Medicine Physician036.057667IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972569556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MASIE VOY ISABELL MD
Provider Business Mailing Address
First Line : 2559 W. 79TH STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1751
Country : US
Telephone Number : 773-737-9555
Fax Number : 773-737-0401
Provider Business Practice Location Address
First Line : 2559 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1751
Country : US
Telephone Number : 773-737-9555
Fax Number : 773-737-0401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 08/08/2017

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Directions to “ DR. MASIE VOY ISABELL MD” Practice Location

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