Individual
STUART A ISSLEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 WILLOW SPRINGS RD STE 450, LA GRANGE HIGHLANDS, IL 60525-6545
(630) 336-7870
(312) 328-7986
Mailing address
720 W NORTH ST, HINSDALE, IL 60521-3044
(630) 336-7870
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036074032
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074032
—
IL
01
—
100009999
RAILROAD MEDICARE
IL
01
—
110033745
RAILROAD MEDICARE
IL
01
—
238276
WELLCARE HMO
IL
01
—
31603503
BCBS PROVIDER ID
IL
Enumeration date
09/16/2005
Last updated
04/19/2018
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