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NPI Code Detail

MEDICARE: DERICK J STEINARD PA-C

MEDICARE:   DERICK J STEINARD  PA-C
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 Assistant085007010IL

General Provider Information

NPI Number : 1386100287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DERICK J STEINARD PA-C
Provider Business Mailing Address
First Line : 2850 S WABASH AVE STE 100
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2491
Country : US
Telephone Number : 312-842-4600
Fax Number :
Provider Business Practice Location Address
First Line : 2850 S WABASH AVE STE 100
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2491
Country : US
Telephone Number : 312-842-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2019
Last Update Date : 06/27/2025

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Directions to “ DERICK J STEINARD PA-C” Practice Location

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