Organization
DANIEL A GUTSTEIN, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A GUTSTEIN M.D. (PRESIDENT)
(847) 626-4374
Entity
Organization
Contact information
Practice address
8170 MCCORMICK BLVD STE 190, SKOKIE, IL 60076-2961
(847) 626-4374
(847) 929-4266
Mailing address
8170 MCCORMICK BLVD STE 190, SKOKIE, IL 60076-2961
(847) 626-4374
(847) 929-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036109673
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109673
—
IL
Enumeration date
12/08/2011
Last updated
04/21/2021
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