Provider Demographics
NPI:1407295371
Name:ADLERSTEIN, DAVID MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MORRIS
Last Name:ADLERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-1551
Mailing Address - Country:US
Mailing Address - Phone:847-245-8448
Mailing Address - Fax:847-245-7070
Practice Address - Street 1:7505 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-1551
Practice Address - Country:US
Practice Address - Phone:847-245-8448
Practice Address - Fax:847-245-7070
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036139887207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine