Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 36084986 | IL |
NPI | 1023102951 |
---|---|
Provider Name | Dr. Stephen Steiner |
First Address | Chicago, IL 60640-5759 |
Second Address | Chicago, IL 60657-5084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036084986 | (05) | IL |
E65073 | (02) | IL |