Blumenstein, Brian

Blumenstein, Brian is an individual health care provider with primary practice located at 9921 Southwest Hwy , Oak Lawn IL 60453-3767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blumenstein, Brian can be contacted via phone (708) 425-8616.

Contact Information

Primary practice address
9921 Southwest Hwy Oak Lawn IL 60453-3767
Fax: (708) 425-9468
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036082788 Illinois

Profile Details

NPI number 1194784645
LBN Legal business name Blumenstein, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 15th, 2009 - about 15 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 1194784645 NPPES
Other IL1223004 MEDICARE PTAN
MEDICAID 036082788 MEDICARE PTAN

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