Healthcare Provider Details

I. General information

NPI: 1902818180
Provider Name (Legal Business Name): ROBERT JOHN STEINMETZ O.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 S MICHIGAN AVE
CHICAGO IL
60605-4827
US

IV. Provider business mailing address

1444 S MICHIGAN AVE
CHICAGO IL
60605-4827
US

V. Phone/Fax

Practice location:
  • Phone: 312-588-5999
  • Fax: 312-588-0599
Mailing address:
  • Phone: 312-588-5999
  • Fax: 312-588-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number046009542
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: