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NPI Code Detail

MEDICARE: DAVID STEWART M.D.

MEDICARE: DAVID STEWART M.D.
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
1207RC0000XCardiovascular Disease Physician01075745AIN
2207RI0011XInterventional Cardiology Physician01075745BIN
3207R00000XInternal Medicine Physician125.055077IL

General Provider Information

NPI Number : 1700042389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID STEWART M.D.
Provider Business Mailing Address
First Line : 365 N HALSTED ST APT 2706
Second Line :
City : CHICAGO
State : IL
Zip : 60661-1378
Country : US
Telephone Number : 314-910-8573
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W CONGRESS PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-942-5352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 04/24/2026

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