MEDICARE: DR. STEPHEN STEINER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	36084986	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023102951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN STEINER M.D.

Provider Business Mailing Address
First Line	:	4646 N MARINE DR
Second Line	:	SUITE 5100
City	:	CHICAGO
State	:	IL
Zip	:	60640-5759
Country	:	US
Telephone Number	:	773-334-7581
Fax Number	:	773-334-0014

Provider Business Practice Location Address
First Line	:	2835 N SHEFFIELD AVE STE 303
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5084
Country	:	US
Telephone Number	:	773-368-3164
Fax Number	:	312-327-4452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	12/30/2021

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