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Organization

STUART ISSLEIB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STUART A ISSLEIB MD (SOLE PROPRIETOR)
(312) 567-5653
Entity
Organization

Contact information

Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-5653
(312) 328-7986
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
238276
WELLCARE HMO
IL
01
31603503
BCBS PROVIDER ID
IL
Enumeration date
09/21/2006
Last updated
02/28/2008
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