| Karla E.a. Steingraber Pc | |
|
615 Warwick Rd Kenilworth IL 60043-1149 | |
| (301) 633-4266 | |
| (847) 251-3289 |
| Full Name | Karla E.a. Steingraber Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 Warwick Rd, Kenilworth, Illinois |
| Authorized Official Name and Position | Karla E.a. Steingraber (PRESIDENT, TREASURER, SECRETARY) |
| Authorized Official Contact | 3016334266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karla E.a. Steingraber Pc 615 Warwick Rd Kenilworth IL 60043-1149 Ph: (301) 633-4266 | Karla E.a. Steingraber Pc 615 Warwick Rd Kenilworth IL 60043-1149 Ph: (301) 633-4266 |
| NPI Number | 1811135536 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Medicare PECOS PAC ID | 4284774811 |
|---|---|
| Medicare Enrollment ID | O20091211000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811135536 | NPI | - | NPPES |
| 1699800276 | Other | IL | INDIVIDUAL NPI NUMBER FOR ME PERSONALLY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 071007582 (Illinois) | Primary |
| Provider Name | Karla Ea Steingraber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699800276 PECOS PAC ID: 0042314353 Enrollment ID: I20090305000291 |
Gastroenterology Consultants Of The North Shore Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Park Dr, Kenilworth, IL 60043 Phone: 847-256-8661 Fax: 847-256-1598 |