Amesbury, Stephen R

Amesbury, Stephen R is an individual health care provider with primary practice located at 675 W North Ave Suite 214, Melrose Park IL 60160-1634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Amesbury, Stephen R can be contacted via phone (708) 450-4557.

Contact Information

Primary practice address
675 W North Ave Suite 214 Melrose Park IL 60160-1634
Phone: (708) 450-4557
Fax: (708) 338-0200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036080212 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036080212 Illinois

Profile Details

NPI number 1811987647
LBN Legal business name Amesbury, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811987647 NPPES
Illinois MEDICAID 036080212
Illinois Other 31601838

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