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Contact Information

ADAM I EDELSTEIN, MD
259 E ERIE ST STE 13-205
CHICAGO, IL60611-2987
 Phone: 312-695-8143
 Fax: 312-695-4075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADAM I EDELSTEIN · (Male)

NPI Number 1013279082
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2012
Last updated 01/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036158132
  • MO License # 2017004296
  • WI License # 69528
  • MO Medicaid 1013279082
  • WI Medicaid 1013279082
Hospital affiliation(s)
  • LAKE FOREST HOSPITAL - (Acute Care)
    660 N WESTMORELAND ROAD
    LAKE FOREST, IL 60045
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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