Provider Demographics
NPI:1811102932
Name:WISZ & KATZ ENTERPRISES PC
Entity type:Organization
Organization Name:WISZ & KATZ ENTERPRISES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:S
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-367-6360
Mailing Address - Street 1:1641 N MILWAUKEE AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1350
Mailing Address - Country:US
Mailing Address - Phone:847-367-6360
Mailing Address - Fax:847-367-8627
Practice Address - Street 1:1641 N MILWAUKEE AVE
Practice Address - Street 2:STE 3
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1350
Practice Address - Country:US
Practice Address - Phone:847-367-6360
Practice Address - Fax:847-367-8627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty