Healthcare Provider Details

I. General information

NPI: 1639294952
Provider Name (Legal Business Name): STEVEN ARTHUR CHANDLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9618 SOUTHWEST HIGHWAY
OAK LAWN IL
60453-2862
US

IV. Provider business mailing address

1701 W MONTEREY AVE, STE 4
CHICAGO IL
60643-4257
US

V. Phone/Fax

Practice location:
  • Phone: 708-229-0101
  • Fax: 708-229-0090
Mailing address:
  • Phone: 872-228-0235
  • Fax: 773-530-0520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number036118743
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number34008196
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036.118743
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: