Eisenstein, Matthew M

Eisenstein, Matthew M is an individual health care provider with primary practice located at 720 E Rollins Rd 5 Mettawa Lane, Riverwoods IL 60015-3551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Eisenstein, Matthew M can be contacted via phone (847) 546-3600.

Contact Information

Primary practice address
720 E Rollins Rd 5 Mettawa Lane Riverwoods IL 60015-3551
Phone: (847) 546-3600
Fax: (847) 546-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036072680 Illinois

Profile Details

NPI number 1700863925
LBN Legal business name Eisenstein, Matthew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Apr 29th, 2011 - 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 1700863925 NPPES
Illinois MEDICAID 036072680

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