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
Fax: (312) 332-3698
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679579155 NPPES
Illinois Other 21606223 BLUE CROSS/BLUE SHIELD IL

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