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Individual

DR. LEE R STEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2623 N HALSTED ST, CHICAGO, IL 60614-2393
(773) 477-3668
(773) 871-1244
Mailing address
2623 N HALSTED ST, CHICAGO, IL 60614-2393
(773) 477-3668
(773) 871-1244

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004996
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004996
IL
01
01627920
BCBS
IL
01
480035139
RAILROAD MEDICARE
IL
Enumeration date
06/08/2006
Last updated
10/23/2007
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