Provider Demographics
NPI:1225356918
Name:ISAAC, EMILY JO (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:JO
Last Name:ISAAC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26W276 GENEVA RD STE C
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2228
Mailing Address - Country:US
Mailing Address - Phone:630-653-2225
Mailing Address - Fax:
Practice Address - Street 1:26W276 GENEVA RD STE C
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2228
Practice Address - Country:US
Practice Address - Phone:630-653-2225
Practice Address - Fax:630-653-2220
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor