Edelstein, Adam Isaac

Edelstein, Adam Isaac is an individual health care provider with primary practice located at 259 E Erie St Ste 13-205 , Chicago IL 60611-2987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Edelstein, Adam Isaac can be contacted via phone (312) 695-8143.

Contact Information

Primary practice address
259 E Erie St Ste 13-205 Chicago IL 60611-2987
Phone: (312) 695-8143
Fax: (312) 695-4075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 69528 Wisconsin
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 2017004296 Missouri
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036158132 Illinois

Profile Details

NPI number 1013279082
LBN Legal business name Edelstein, Adam Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated Jan 6th, 2022 - about 3 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 1013279082 NPPES
Wisconsin MEDICAID 1013279082
Wisconsin MEDICAID 1013279082

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