Dr. Stephen Ross Dreznin
Nephrologist
4309 W Medical Center Dr Ste A102
McHenry
, Illinois 60050-8436
Dr. Stephen Ross Dreznin
Nephrologist
4309 W Medical Center Dr Ste A102
McHenry
, Illinois 60050-8436
(815) 759-4323
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Stephen Ross Dreznin
- 4309 W Medical Center Dr Ste A102
- Mchenry, IL
- Zip : 60050-8436
- Phone : (815) 759-4323
Second Address
- Dr. Stephen Ross Dreznin
- 4309 W Medical Center Dr Ste A102
- Mchenry, IL
- Zip : 60050-8436
- Phone : (815) 759-4323
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RN0300X | Nephrologist | 168449-1 | NY |
National Provider Identifier
| NPI | 1073591533 |
|---|---|
| Provider Name | Dr. Stephen Ross Dreznin |
| First Address | Mchenry, IL 60050-8436 |
| Second Address | Mchenry, IL 60050-8436 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01420240 | (05) | NY |
| 036132060 | STATE LICENSE (01) | IL |
| 390006590 | RAILROAD MEDICARE (01) | NY |
| E59161 | (02) | NY |
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.