Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 72-2271 | IL |
NPI | 1588649933 |
---|---|
Provider Name | Dr. Steven Michael Tovian |
First Address | Highland Park, IL 60035-2538 |
Second Address | Highland Park, IL 60035-2538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 08/07/2007 |