Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0016002921 | IL |
NPI | 1063486793 |
---|---|
Provider Name | Dr. Robert Scott Steinberg |
First Address | Schaumburg, IL 60173-4701 |
Second Address | Schaumburg, IL 60173-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016-002921 | (05) | IL |
0060001006 | BLUE SHIELD OF ILLINOIS (01) | IL |