Provider Demographics
NPI:1558363325
Name:MILLSTEIN, ERIC SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SETH
Last Name:MILLSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:425 HUEHL RD
Mailing Address - Street 2:BUILDING 8
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2319
Mailing Address - Country:US
Mailing Address - Phone:847-770-6051
Mailing Address - Fax:310-870-7341
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:#1204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2001
Practice Address - Country:US
Practice Address - Phone:310-595-1030
Practice Address - Fax:310-870-7341
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA78280207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA78280Medicare ID - Type Unspecified
CAH70555Medicare UPIN