Provider Demographics
NPI:1740431287
Name:DRS RESNICK, EGGER, AND TATEL
Entity Type:Organization
Organization Name:DRS RESNICK, EGGER, AND TATEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-498-1595
Mailing Address - Street 1:1707 SHERMER RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5316
Mailing Address - Country:US
Mailing Address - Phone:847-498-1595
Mailing Address - Fax:
Practice Address - Street 1:1707 SHERMER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5316
Practice Address - Country:US
Practice Address - Phone:847-498-1595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.0008841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty