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NPI Code Detail

MEDICARE: DR. STEVEN A MARCINIAK MD

MEDICARE: DR. STEVEN A MARCINIAK MD
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
1207X00000XOrthopaedic Surgery Physician036097420IL
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician036097420IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205813813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN A MARCINIAK MD
Provider Business Mailing Address
First Line : 1256 WATERFORD DR STE 230
Second Line :
City : AURORA
State : IL
Zip : 60504-4511
Country : US
Telephone Number : 630-499-2404
Fax Number : 630-692-5518
Provider Business Practice Location Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 05/29/2019

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Directions to “ DR. STEVEN A MARCINIAK MD” Practice Location

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