MEDICARE: DR. ERIN KRISTINA STELLER DC

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	111N00000X	Chiropractor	038011408	IL

General Provider Information

NPI Number	:	1114151040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN KRISTINA STELLER DC

Provider Business Mailing Address
First Line	:	1401 N BOSWORTH AVE
Second Line	:	#3
City	:	CHICAGO
State	:	IL
Zip	:	60642-2349
Country	:	US
Telephone Number	:	217-971-2367
Fax Number	:	847-277-7762

Provider Business Practice Location Address
First Line	:	120 W GOLF RD
Second Line	:	SUITE 209
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-5179
Country	:	US
Telephone Number	:	217-971-2367
Fax Number	:	847-277-7762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	05/06/2009

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