Dr. Adam Isaac Edelstein
Adult Reconstructive Orthopaedic Surgeon
259 E Erie St Ste 13-205
Chicago
, Illinois 60611-2987
Dr. Adam Isaac Edelstein
Adult Reconstructive Orthopaedic Surgeon
259 E Erie St Ste 13-205
Chicago
, Illinois 60611-2987
(312) 695-4075
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Adam Isaac Edelstein
- 259 E Erie St Ste 13-205
- Chicago, IL
- Zip : 60611-2987
- Fax : (312) 695-4075
- Phone : (312) 695-8143
Second Address
- Dr. Adam Isaac Edelstein
- 259 E Erie St Ste 13-205
- Chicago, IL
- Zip : 60611-2987
- Fax : (312) 695-4075
- Phone : (312) 695-8143
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Is Dr. Adam Isaac Edelstein a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036158132 | IL |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2017004296 | MO |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 69528 | WI |
National Provider Identifier
| NPI | 1013279082 |
|---|---|
| Provider Name | Dr. Adam Isaac Edelstein |
| First Address | Chicago, IL 60611-2987 |
| Second Address | Chicago, IL 60611-2987 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2012 |
| Last Update Date | 06/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013279082 | (05) | MO |
| 1013279082 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.