Stein, Evan
Stein, Evan is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave Ste Mc6080 , Chicago IL 60637-1641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Stein, Evan can be contacted via phone (773) 702-1061.Contact Information
Primary practice address
5841 S Maryland Ave Ste Mc6080
Chicago IL 60637-1641
Phone: (773) 702-1061
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Microbiology | 207ZM0300X | 35-041267 | Ohio |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036140942 | Illinois |
Profile Details
NPI number | 1922142223 |
---|---|
LBN Legal business name | Stein, Evan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 19th, 2007 |
Last updated | Jan 2nd, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922142223 | NPPES |
Ohio | MEDICAID | 0377122 |
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