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Individual

DR. MORDECAI M GERSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2949 W LUNT AVE, CHICAGO, IL 60645-2919
(773) 274-2678
(773) 274-2697
Mailing address
2949 W LUNT AVE, CHICAGO, IL 60645-2919
(773) 274-2678
(773) 274-2697

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036-076565
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000526820
ANTHEM
IN
01
P00632888
RAILROAD MEDICARE
IN
Enumeration date
06/30/2006
Last updated
11/26/2008
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