MEDICARE: MS. BARBARA LUECK STEINKRAUSS

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	235Z00000X	Speech-Language Pathologist		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BS39940698P	OTHER	IL	EARLY INTERVENTION
2	0001633922	OTHER	IL	BCBS
3	00263327	OTHER		ASHA

General Provider Information

NPI Number	:	1588762918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA LUECK STEINKRAUSS

Provider Business Mailing Address
First Line	:	3722 N PAVLING ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3626
Country	:	US
Telephone Number	:	773-296-6029
Fax Number	:	773-296-4360

Provider Business Practice Location Address
First Line	:	3722 N PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3626
Country	:	US
Telephone Number	:	773-296-6029
Fax Number	:	773-296-4360

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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