Gerstein, Melvyn A

Gerstein, Melvyn A is an individual health care provider with primary practice located at 3042 W Peterson Ave , Chicago IL 60659-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gerstein, Melvyn A can be contacted via phone (773) 973-3223.

Contact Information

Primary practice address
3042 W Peterson Ave Chicago IL 60659-3729
Phone: (773) 973-3223
Fax: (773) 973-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1780782383
LBN Legal business name Gerstein, Melvyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 28th, 2021 - about 5 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 1780782383 NPPES
Illinois Other 21603195 BCBS PROVIDER NUMBER
Illinois MEDICAID 036041953-1 BCBS PROVIDER NUMBER

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