Individual
STEPHANIE CAROLINE EISENBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST STE 7-325, CHICAGO, IL 60611-2908
(312) 926-7405
(312) 926-3127
Mailing address
251 E HURON ST STE 7-325, CHICAGO, IL 60611-2908
(312) 926-7405
(312) 926-3127
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036159286
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
046721
CT
Other
Enumeration date
12/31/2007
Last updated
04/05/2022
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