MEDICARE: ROBERT NATHAN 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
1	207RH0000X	Hematology (Internal Medicine) Physician	036054692	IL

General Provider Information

NPI Number	:	1245230309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT NATHAN STEIN MD

Provider Business Mailing Address
First Line	:	4400 W 95TH ST
Second Line	:	SUITE 311
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2654
Country	:	US
Telephone Number	:	708-424-9710
Fax Number	:	708-424-8904

Provider Business Practice Location Address
First Line	:	62647 COLLECTION CENTER DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60693-0626
Country	:	US
Telephone Number	:	708-424-9710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	07/10/2015

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