Stone, Larry Stuart
Stone, Larry Stuart is an individual health care provider with primary practice located at 4640 N Marine Drive , Chicago IL 60640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stone, Larry Stuart can be contacted via phone (773) 561-4545.Contact Information
Primary practice address
4640 N Marine Drive
Chicago IL 60640
Phone: (773) 561-4545
Fax: (773) 561-9031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036063280 | Illinois |
Profile Details
| NPI number | 1396824942 |
|---|---|
| LBN Legal business name | Stone, Larry Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Apr 28th, 2021 - about 5 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 | 1396824942 | NPPES |
| Illinois | MEDICAID | 036063280 |
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