Individual
EVAN STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE STE MC6080, CHICAGO, IL 60637-1641
(773) 702-1061
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1061
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036140942
IL
207ZM0300X
Medical Microbiology Physician
35-041267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377122
—
OH
Enumeration date
02/19/2007
Last updated
01/02/2019
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