Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125051233 | IL |
N | 111NI0900X | Internist | 125051233 | IL |
N | 207RG0300X | Geriatric Medicine | 036-123323 | IL |
NPI | 1144476136 |
---|---|
Provider Name | Steve Paschos |
First Address | Chicago, IL 60612-3833 |
Second Address | Chicago, IL 60612-3706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 28/04/2021 |