DR. MORDECAI M GERSTEIN M.D. NPI 1114955697

NPI Information

NPI: 1114955697
Provider Name: DR. MORDECAI M GERSTEIN, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
2949 W LUNT AVE
CHICAGO, IL
ZIP 60645
Phone: (773) 274-2678
Get Directions

DR. Mordecai M Gerstein, M.D. is a critical care medicine internal medicine in Chicago, IL. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Mordecai M Gerstein, M.D. NPI is 1114955697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2949 W LUNT AVE
CHICAGO, IL
ZIP 60645-919
Phone: (773) 274-2678
Fax: (773) 274-2697

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	036-076565	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000526820	OTHER	INDIANA	ANTHEM
2	D15741	MEDICARE UPIN	ILLINOIS
3	P00632888	OTHER	INDIANA	RAILROAD MEDICARE
4	070860A2	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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