MEDICARE: DR. SUZANNE STEELE 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
1	207Q00000X	Family Medicine Physician	MD058789L	PA
2	207Q00000X	Family Medicine Physician	77389	FL

General Provider Information

NPI Number	:	1639175557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE STEELE MD

Provider Business Mailing Address
First Line	:	480 QUADRANGLE DR STE 200
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-3414
Country	:	US
Telephone Number	:	800-809-1012
Fax Number	:	317-428-2373

Provider Business Practice Location Address
First Line	:	8200 W SUNRISE BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5426
Country	:	US
Telephone Number	:	786-530-6543
Fax Number	:

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/03/2019

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