Healthcare Provider Details
I. General information
NPI: 1649270711
Provider Name (Legal Business Name): STEVEN K BELOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/29/2005
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 N WILLIAM KUMPF BLVD
PEORIA IL
61605-2507
US
IV. Provider business mailing address
303 N WILLIAM KUMPF BLVD
PEORIA IL
61605-2507
US
V. Phone/Fax
- Phone: 309-676-5546
- Fax: 309-676-5045
- Phone: 309-676-5546
- Fax: 309-676-5045
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 036104565 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | 036104565 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: