Individual
STEWART PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 E HURON ST, NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, SUITE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
240 E HURON ST, NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, SUITE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01090921A
IN
207P00000X
Emergency Medicine Physician
036.167319
IL
207P00000X
Emergency Medicine Physician
84138-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/31/2016
Last updated
04/03/2026
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