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NPI Code Detail

MEDICARE: DR. STEVEN RICHARD MERSHON M.D.

MEDICARE:  DR. STEVEN RICHARD MERSHON  M.D.
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
12084P0800XPsychiatry PhysicianIL
22084P0805XGeriatric Psychiatry PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10031600903OTHERILBLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number : 1265440846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN RICHARD MERSHON M.D.
Provider Business Mailing Address
First Line : 1500 WAUKEGAN RD STE 213
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-2165
Country : US
Telephone Number : 847-998-5556
Fax Number : 847-998-9156
Provider Business Practice Location Address
First Line : 1500 WAUKEGAN RD STE 213
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-2165
Country : US
Telephone Number : 847-998-5556
Fax Number : 847-998-9156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 09/11/2025

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Directions to “ DR. STEVEN RICHARD MERSHON M.D.” Practice Location

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