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Steven Herzog

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

2440 W Peterson Ave
Chicago , Illinois 60659-4113

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Image

Steven Herzog

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

2440 W Peterson Ave
Chicago , Illinois 60659-4113

(773) 761-6714

Write a Review Save Call

Steven Herzog

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

2440 W Peterson Ave
Chicago , Illinois 60659-4113

(773) 761-6714 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

2440 W Peterson Ave Chicago , Illinois 60659-4113

First Address

  • Steven Herzog
  • 2440 W Peterson Ave
  • Chicago, IL
  • Zip : 60659-4113
  • Fax : (773) 761-6714
  • Phone : (773) 761-7171

Second Address

  • Steven Herzog
  • 2440 W Peterson Ave
  • Chicago, IL
  • Zip : 60659-4113
  • Fax : (773) 761-6714
  • Phone : (773) 761-7171

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FAQs


Where did Steven Herzog attend graduate school?

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Where did Steven Herzog do his residency?

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Where did Steven Herzog do his fellowship?

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Is Steven Herzog board certified?

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What type of doctor is Steven Herzog

Oral & Maxillofacial Surgeon

In what state does Steven Herzog practice in?

Illinois

Where is Steven Herzog ’s practice located?

2440 W Peterson Ave , Chicago, Illinois, 60659-4113

What is Steven Herzog ’s gender?

Male

Is Steven Herzog a sole practitioner?

No

Is Steven Herzog accepting new patients?

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What languages does Steven Herzog speak?

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Does Steven Herzog accept insurance?

Yes, Steven Herzog accepts insurance

Does Steven Herzog offers telemedicine?

Steven Herzog has not indicated if he offers telemedicine

What is Steven Herzog ’s professional license number?

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What is Steven Herzog ’s NPI number?

1306063631

Does Steven Herzog have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223S0112X Oral and Maxillofacial Surgeon 019-016111 IL
Y 204E00000X Oral & Maxillofacial Surgeon 019-016111 IL

National Provider Identifier

NPI 1306063631
Provider Name Steven Herzog
First Address Chicago, IL 60659-4113
Second Address Chicago, IL 60659-4113
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/04/2007
Last Update Date 16/12/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
019016111 (05) IL
T74901 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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