Edelstein, David R.
Edelstein, David R. is an individual health care provider with primary practice located at 30 N Michigan Ave Ste 501, Chicago IL 60602-3833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Edelstein, David R. can be contacted via phone (312) 332-3699.Contact Information
Primary practice address
30 N Michigan Ave Ste 501
Chicago IL 60602-3833
Phone: (312) 332-3699
Fax: (312) 332-3698
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Illinois |
Profile Details
NPI number | 1679579155 |
---|---|
LBN Legal business name | Edelstein, David R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679579155 | NPPES |
Illinois | Other | 21606223 | BLUE CROSS/BLUE SHIELD IL |
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