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Individual

DR. MATTHEW M EISENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 E ROLLINS RD, 5 METTAWA LANE, RIVERWOODS, IL 60015-3551
(847) 546-3600
(847) 546-3633
Mailing address
5 METTAWA LANE, SUITE N500, RIVERWOODS, IL 60015-3551
(414) 455-4780
(414) 475-2936

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036072680
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036072680
IL
Enumeration date
12/29/2005
Last updated
04/29/2011
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