Stein, Gerald M.

Stein, Gerald M. is an sole proprietor health care provider with primary practice located at 210 W 22Nd St Suite 118, Oak Brook IL 60523-1544. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stein, Gerald M. can be contacted via phone (630) 571-1077.

Contact Information

Primary practice address
210 W 22Nd St Suite 118 Oak Brook IL 60523-1544
Phone: (630) 571-1077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071-001939 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-001939 Illinois
Behavioral Health & Social Service Providers / Health Service 103TH0100X 071-001939 Illinois

Profile Details

NPI number 1043366297
LBN Legal business name Stein, Gerald M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Nov 13th, 2008 - about 18 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 1043366297 NPPES
Illinois Other 071-001939 LICENSE
Illinois Other 022-72048-74 LICENSE

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