Healthcare Provider Details

I. General information

NPI: 1689086019
Provider Name (Legal Business Name): STEVEN JAMES ENGEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH ST
OAK LAWN IL
60453-2600
US

IV. Provider business mailing address

62647 COLLECTION CENTER DRIVE
CHICAGO IL
60693-0626
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-5475
  • Fax:
Mailing address:
  • Phone: 773-726-4713
  • Fax: 815-941-2476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number036158175
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME141511
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: