Gerstein, Mordecai M

Gerstein, Mordecai M is an individual health care provider with primary practice located at 2949 W Lunt Ave , Chicago IL 60645-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Gerstein, Mordecai M can be contacted via phone (773) 274-2678.

Contact Information

Primary practice address
2949 W Lunt Ave Chicago IL 60645-2919
Phone: (773) 274-2678
Fax: (773) 274-2697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036-076565 Illinois

Profile Details

NPI number 1114955697
LBN Legal business name Gerstein, Mordecai M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 26th, 2008 - about 16 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 1114955697 NPPES
Indiana Other 000000526820 ANTHEM
Indiana Other P00632888 ANTHEM

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