Stern, Theodore Lyons

Stern, Theodore Lyons is an individual health care provider with primary practice located at 303 W Ogden Ave , Westmont IL 60559-1419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stern, Theodore Lyons can be contacted via phone (630) 432-6200.

Contact Information

Primary practice address
303 W Ogden Ave Westmont IL 60559-1419
Phone: (630) 432-6200
Fax: (630) 432-6660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01058075A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01058075A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-108619 Illinois

Profile Details

NPI number 1043202567
LBN Legal business name Stern, Theodore Lyons
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 23rd, 2022 - about 4 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 1043202567 NPPES
Illinois Other 90001358 BCBSIL
Illinois MEDICAID 200501020 BCBSIL
Illinois MEDICAID 036108619 BCBSIL

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