1497740393 NPI number — STUART A ISSLEIB MD

Table of content: STUART A ISSLEIB MD (NPI 1497740393)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497740393 NPI number — STUART A ISSLEIB MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ISSLEIB
Provider First Name:
STUART
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497740393
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
720 W NORTH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HINSDALE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60521-3044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-336-7870
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5201 WILLOW SPRINGS RD STE 450
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA GRANGE HIGHLANDS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60525-6545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-336-7870
Provider Business Practice Location Address Fax Number:
312-328-7986
Provider Enumeration Date:
09/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  036074032 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 036074032 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110033745 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 100009999 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 31603503 . This is a "BCBS PROVIDER ID" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 238276 . This is a "WELLCARE HMO" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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