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
Fax: (773) 561-9031
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396824942 NPPES
Illinois MEDICAID 036063280

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