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
Phone: (312) 926-3540
Fax: (312) 926-3538
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790726651 | NPPES |
Illinois | MEDICAID | N/A |
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