MEDICARE: DR. STEVEN MATTHEW KOVAR 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	208000000X	Pediatrics Physician		IL

General Provider Information

NPI Number	:	1104823780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN MATTHEW KOVAR M.D.

Provider Business Mailing Address
First Line	:	24600 W 127TH ST
Second Line	:	BUILDING B, SUITE 345
City	:	PLAINFIELD
State	:	IL
Zip	:	60585-9502
Country	:	US
Telephone Number	:	815-609-5437
Fax Number	:	815-609-8111

Provider Business Practice Location Address
First Line	:	24600 W 127TH ST
Second Line	:	BUILDING B, SUITE 345
City	:	PLAINFIELD
State	:	IL
Zip	:	60585-9502
Country	:	US
Telephone Number	:	815-609-5437
Fax Number	:	815-609-8111

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/09/2007

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