Organization Active NPI

Eisenstein Medical Centers

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1326385972
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-048275 Issued in IL
Legal business name
EISENSTEIN MEDICAL CENTERS
Practice address
1100 Sherman Ave Ste 107
Naperville, IL 60563-4855
Phone
(773) 895-3311
Fax
(866) 272-8433
NPI assigned
Jan 15, 2013
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mayer Eisenstein, M.D.
Title
President
Phone
(773) 895-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-048275 IL Primary

Addresses

Primary practice location

1100 Sherman Ave Ste 107
Naperville, IL 60563-4855

Mailing address

2757 W Jarlath St
Chicago, IL 60645-1317
Phone (773) 895-3311

National Provider Directory

National Provider Directory

Locations

1100 Sherman Ave
Ste 107
Naperville, IL 60563
Phone (773) 895-3311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1326385972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 W JARLATH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451317",
            "telephone_number": "773-895-3311",
            "fax_number": "866-272-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634855",
            "telephone_number": "773-895-3311",
            "fax_number": "866-272-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENSTEIN MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "EISENSTEIN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-895-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-048275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.