Eisenberg, Gerald

Eisenberg, Gerald is an individual health care provider with primary practice located at 9000 Waukegan Rd Suite 200, Morton Grove IL 60053-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Eisenberg, Gerald can be contacted via phone (847) 375-3000.

Contact Information

Primary practice address
9000 Waukegan Rd Suite 200 Morton Grove IL 60053-2111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036-055206 Illinois

Profile Details

NPI number 1740234368
LBN Legal business name Eisenberg, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 28th, 2012 - about 13 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 1740234368 NPPES
Illinois MEDICAID 036-055206

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