MEDICARE: STEVEN MARQUARDT 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	207L00000X	Anesthesiology Physician	036-070591	IL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	036070591	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	050079760	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	0004930110	OTHER	IL	BCBS
4	111282	OTHER	IL	HEALTH PARTNERS

General Provider Information

NPI Number	:	1972578227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MARQUARDT MD

Provider Business Mailing Address
First Line	:	1880 W WINCHESTER RD
Second Line	:	101
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5321
Country	:	US
Telephone Number	:	847-281-9543
Fax Number	:	847-281-9615

Provider Business Practice Location Address
First Line	:	1880 W WINCHESTER RD
Second Line	:	101
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5321
Country	:	US
Telephone Number	:	847-281-9543
Fax Number	:	847-281-9615

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	06/19/2024

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Directions to “ STEVEN MARQUARDT MD” Practice Location

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