Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 019016047 | IL |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 021001087 | IL |
NPI | 1114065471 |
---|---|
Provider Name | Dr. Michael George Steichen |
First Address | Arlington Heights, IL 60067 |
Second Address | Arlington Hts, IL 60005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T38369 | (02) |