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Contact Information

NISSIM STOLBERG, D.O
2652 W GREENLEAF AVE
APT #2
CHICAGO, IL60645-3208
 Phone: 773-701-2085
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NISSIM STOLBERG · (Male)

NPI # 1124412416
Status Active
Credentials D.O
Entity Individual
Enumeration date 03/24/2015
Last updated 03/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036157013
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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