Individual
DR. STEVEN C EIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5600 W ADDISON ST, SUITE 102, CHICAGO, IL 60634-4401
(773) 736-1717
(773) 736-7538
Mailing address
5600 W ADDISON ST, SUITE 102, CHICAGO, IL 60634-4401
(773) 736-1717
(773) 736-7538
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-108999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108999
—
IL
Enumeration date
06/28/2006
Last updated
07/09/2007
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