Organization
STUART ISSLEIB
Active
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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