MARK A STERN MD NPI 1770501306

NPI Information

NPI: 1770501306
Provider Name: MARK A STERN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
767 PARK AVENUE WEST
SUITE 340
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 444-5300
Get Directions

Mark A Stern, MD is a cardiovascular disease internal medicine in Highland Park, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mark A Stern, MD NPI is 1770501306. 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:

767 PARK AVENUE WEST
SUITE 340
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 444-5300
Fax: (847) 267-0694

The NPI 1770501306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/10/2007.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	36044361	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	CB4267	OTHER		RAILROAD MEDICARE
2	777210	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	LOCALITY 15
3	P11832	MEDICARE PIN	ILLINOIS
4	C37131	MEDICARE UPIN	ILLINOIS
5	36044361	MEDICAID	ILLINOIS
6	04915267	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

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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