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NPI Code Detail

MEDICARE: JEFFREY STEPLOWSKI PA

MEDICARE: JEFFREY STEPLOWSKI PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1326671140
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY STEPLOWSKI PA
Provider Business Mailing Address
First Line : 4553 WHITNEY DR
Second Line :
City : HANOVER PARK
State : IL
Zip : 60133-5925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4354 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5039
Country : US
Telephone Number : 773-482-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2020
Last Update Date : 01/19/2022

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Directions to “ JEFFREY STEPLOWSKI PA” Practice Location

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