Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 036054692 | IL |
NPI | 1245230309 |
---|---|
Provider Name | Robert Nathan Stein |
First Address | Oak Lawn, IL 60453-2654 |
Second Address | Chicago, IL 60693-0626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 10/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D13127 | (02) |