Stover, Michael D

Stover, Michael D is an individual health care provider with primary practice located at 259 E Erie St Fl 13 , Chicago IL 60611-3926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Stover, Michael D can be contacted via phone (312) 695-6800.

Contact Information

Primary practice address
259 E Erie St Fl 13 Chicago IL 60611-3926
Fax: (312) 695-2772
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 36098815 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-098815 Illinois

Profile Details

NPI number 1033183363
LBN Legal business name Stover, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 4th, 2020 - about 4 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 1033183363 NPPES
Illinois Other L81088 MEDICARE
Illinois MEDICAID 36098815 MEDICARE

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