Individual
MARK A STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
767 PARK AVENUE WEST, SUITE 340, HIGHLAND PARK, IL 60035
(847) 444-5300
(847) 267-0694
Mailing address
2151 WAUKEGAN RD, SUITE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-0694
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36044361
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04915267
BLUE CROSS BLUE SHIELD
IL
05
—
36044361
—
IL
01
—
CB4267
RAILROAD MEDICARE
—
Enumeration date
07/18/2006
Last updated
11/10/2007
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