MEDICARE: DR. PAUL STEVEN MENET 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	036047587	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00049565	OTHER	IL	MEDICARE RAILROAD
4	P00843099	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2232209	OTHER	IL	BLUE CROSS/BLUE SHIELD
5	2265655	OTHER	IL	CIGNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1821172511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL STEVEN MENET MD

Provider Business Mailing Address
First Line	:	245 S GARY AVE
Second Line	:	SUITE 202
City	:	BLOOMINGDALE
State	:	IL
Zip	:	60108-2228
Country	:	US
Telephone Number	:	630-893-2190
Fax Number	:	630-307-8716

Provider Business Practice Location Address
First Line	:	245 S GARY AVE
Second Line	:	SUITE 202
City	:	BLOOMINGDALE
State	:	IL
Zip	:	60108-2228
Country	:	US
Telephone Number	:	630-893-2190
Fax Number	:	630-307-8716

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	10/19/2010

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Directions to “ DR. PAUL STEVEN MENET MD” Practice Location

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