Archer, Stephen Lawrence

Archer, Stephen Lawrence is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave Mail Code 6080, University Of Chicago, Chicago IL 60637-1447. He recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as his primary health care specialty. Archer, Stephen Lawrence can be contacted via phone (773) 834-9748.

Contact Information

Primary practice address
5841 S Maryland Ave Mail Code 6080, University Of Chicago Chicago IL 60637-1447
Phone: (773) 834-9748
Fax: (773) 702-8875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 36117433 Illinois

Profile Details

NPI number 1386797843
LBN Legal business name Archer, Stephen Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386797843 NPPES
Illinois Other 36117433 STATE LICENSE

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