Individual
DR. MELVYN A GERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3042 W PETERSON AVE, CHICAGO, IL 60659-3729
(773) 973-3223
(773) 973-1119
Mailing address
3042 W PETERSON AVE, CHICAGO, IL 60659-3729
(773) 973-3223
(773) 973-1119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041953-1
—
IL
01
—
21603195
BCBS PROVIDER NUMBER
IL
Enumeration date
09/20/2006
Last updated
12/28/2021
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