Healthcare Provider Details

I. General information

NPI: 1023279858
Provider Name (Legal Business Name): STEVEN F TEMPEL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 SPRINGFIELD DR SUITE #190
BLOOMINGDALE IL
60108-2214
US

IV. Provider business mailing address

290 SPRINGFIELD DR SUITE #190
BLOOMINGDALE IL
60108-2214
US

V. Phone/Fax

Practice location:
  • Phone: 163-092-4828
  • Fax:
Mailing address:
  • Phone: 163-092-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number019-019825
License Number StateIL

VIII. Authorized Official

Name: DR. STEVEN FREDERICK TEMPEL
Title or Position: PRESIDENT
Credential: DDS
Phone: 16309248284