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NPI Code Detail

MEDICARE: DR. BYRON I EISENSTEIN MD

MEDICARE: DR. BYRON I EISENSTEIN 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
1174400000XSpecialistIL

General Provider Information

NPI Number : 1851397350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BYRON I EISENSTEIN MD
Provider Business Mailing Address
First Line : 880 W CENTRAL RD
Second Line : STE 7200
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2382
Country : US
Telephone Number : 847-259-2530
Fax Number : 847-259-2536
Provider Business Practice Location Address
First Line : 880 W CENTRAL RD
Second Line : STE 7200
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2382
Country : US
Telephone Number : 847-259-2530
Fax Number : 847-259-2536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/08/2007

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Directions to “ DR. BYRON I EISENSTEIN MD” Practice Location

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