Healthcare Provider Details

I. General information

NPI: 1235146549
Provider Name (Legal Business Name): STEVEN SHECHTMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 GOLF RD STE 303
DES PLAINES IL
60016-4029
US

IV. Provider business mailing address

8901 GOLF RD STE 303
DES PLAINES IL
60016-4029
US

V. Phone/Fax

Practice location:
  • Phone: 847-297-6600
  • Fax: 847-297-5270
Mailing address:
  • Phone: 847-297-6600
  • Fax: 847-297-5270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036053355
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: