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NPI Code Detail

MEDICARE: DR. STEPHEN KORBET MD

MEDICARE: DR. STEPHEN KORBET 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
1207RN0300XNephrology Physician036061118IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110042310OTHERILRAILROAD MEDICARE ID NUMB
4110042310OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
301615381OTHERILBC/BS ID NUMBER

General Provider Information

NPI Number : 1972608289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN KORBET MD
Provider Business Mailing Address
First Line : 120 W 22ND ST
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1557
Country : US
Telephone Number : 630-573-5000
Fax Number :
Provider Business Practice Location Address
First Line : 104 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2402
Country : US
Telephone Number : 312-850-8434
Fax Number : 312-850-8431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 04/29/2025

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Directions to “ DR. STEPHEN KORBET MD” Practice Location

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