MEDICARE: DR. LORRAYNE H 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	2084P0800X	Psychiatry Physician	036077316	IL

General Provider Information

NPI Number	:	1588628325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORRAYNE H STEIN MD

Provider Business Mailing Address
First Line	:	1460 N HALSTED ST
Second Line	:	STE 501
City	:	CHICAGO
State	:	IL
Zip	:	60642-2605
Country	:	US
Telephone Number	:	773-388-6390
Fax Number	:	312-867-7101

Provider Business Practice Location Address
First Line	:	1460 N HALSTED ST
Second Line	:	STE 501
City	:	CHICAGO
State	:	IL
Zip	:	60642-2605
Country	:	US
Telephone Number	:	773-388-6390
Fax Number	:	312-867-7101

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	05/17/2013

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