Organization
ONSITE CLINCAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN M ERDELYI (PRESIDENT)
(847) 346-5070
Entity
Organization
Contact information
Practice address
2521 GROSS POINT RD, EVANSTON, IL 60201-4993
(847) 346-5070
Mailing address
2521 GROSS POINT RD, EVANSTON, IL 60201-4993
(847) 346-5070
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
08/15/2023
Last updated
02/20/2026
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