MEDICARE: STEGER SMILES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry
2	1223G0001X	General Practice Dentistry	019029975	IL

General Provider Information

NPI Number	:	1043716863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEGER SMILES PC

Provider Business Mailing Address
First Line	:	950 N CLARK ST UNIT I
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-8702
Country	:	US
Telephone Number	:	312-384-9493
Fax Number	:

Provider Business Practice Location Address
First Line	:	3112 UNION AVE
Second Line	:
City	:	STEGER
State	:	IL
Zip	:	60475-1166
Country	:	US
Telephone Number	:	708-754-8090
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. ABHISHEK NAGARAJ
Credential	:	DDS
Telephone Number	:	312-384-9493

Provider Enumeration Date	:	04/02/2018
Last Update Date	:	04/02/2018

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Directions to “STEGER SMILES PC ” Practice Location

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