Provider Demographics
NPI:1124116470
Name:ESKOZ, NORMAN L (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:L
Last Name:ESKOZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 W ELM ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-4010
Mailing Address - Country:US
Mailing Address - Phone:815-385-9620
Mailing Address - Fax:815-385-9643
Practice Address - Street 1:5400 W ELM ST
Practice Address - Street 2:SUITE 210
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4010
Practice Address - Country:US
Practice Address - Phone:815-385-9620
Practice Address - Fax:815-385-9643
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics