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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922142223 NPPES
Ohio MEDICAID 0377122

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