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NPI Code Detail

MEDICARE: EVAN STEIN MD

MEDICARE: EVAN STEIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZM0300XMedical Microbiology Physician35-041267OH
2207RC0000XCardiovascular Disease Physician036140942IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922142223
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN STEIN MD
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number : 773-702-1061
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE STE MC6080
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1641
Country : US
Telephone Number : 773-702-1061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 01/02/2019

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Directions to “ EVAN STEIN MD” Practice Location

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