Eytan, Alyse

Eytan, Alyse is an individual health care provider with primary practice located at 201 E Huron St 9-235, Chicago IL 60611-3197. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Eytan, Alyse can be contacted via phone (312) 926-3540.

Contact Information

Primary practice address
201 E Huron St 9-235 Chicago IL 60611-3197
Fax: (312) 926-3538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1790726651
LBN Legal business name Eytan, Alyse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790726651 NPPES
Illinois MEDICAID N/A

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