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Contact Information

MORDECAI M GERSTEIN, MD
2949 W LUNT AVE
CHICAGO, IL60645-2919
 Phone: 773-274-2678
 Fax: 773-274-2697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MORDECAI M GERSTEIN · (Male)

NPI # 1114955697
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 11/26/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-076565
  • IN Other 000000526820 ANTHEM
  • IN Other P00632888 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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