Healthcare Provider Details

I. General information

NPI: 1104736529
Provider Name (Legal Business Name): MICHELLE STEIL NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 N KENNETH AVE UNIT 109
CHICAGO IL
60641-3015
US

IV. Provider business mailing address

1101 RED VENTURES DR
FORT MILL SC
29707-5005
US

V. Phone/Fax

Practice location:
  • Phone: 773-814-0044
  • Fax:
Mailing address:
  • Phone: 980-785-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3464393
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: