Provider Demographics
NPI:1174933329
Name:EINHORN, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:EINHORN
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 1:2104 N DAMEN AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4579
Mailing Address - Country:US
Mailing Address - Phone:618-520-0435
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR RM HC435
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5207
Practice Address - Country:US
Practice Address - Phone:650-723-5948
Practice Address - Fax:650-723-3045
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program