Individual
DR. ADAM ISAAC EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 13-205, CHICAGO, IL 60611-2987
(312) 695-8143
(312) 695-4075
Mailing address
259 E ERIE ST STE 13-205, CHICAGO, IL 60611-2987
(312) 695-8143
(312) 695-4075
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036158132
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2017004296
MO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
69528
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013279082
—
MO
05
—
1013279082
—
WI
Enumeration date
06/14/2012
Last updated
01/06/2022
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