Karen Elizabeth Izzo, DDS
Dentist in Norridge, IL. Individual provider (NPI-1).
NPI number1093726705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1093726705
- Entity type
- Individual (NPI-1)
- Name
- Karen Elizabeth Izzo
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019-022654 | IL | Yes |
Practice location
4501 N Cumberland AveSuite #2
Norridge, IL 60706
Phone 708-453-5320 · Fax 708-583-1945
Mailing address
4501 N Cumberland AveNorridge, IL 60706-4278
Phone 708-453-5320 · Fax 708-583-1945
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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