Steven Herzog in Chicago - Oral & Maxillofacial Surgery
Steven Herzog - NPI 1306063631
Steven Herzog is a Oral & Maxillofacial Surgery in Chicago, Illinois. Steven Herzog practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Steven Herzog is 1306063631. The last update date is 2019-12-16.
Steven Herzog's current location address is 2440 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7737617171 and fax number 7737616714. The mailing address for Steven Herzog is 2440 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Herzog |
|---|---|
| Address | 2440 W Peterson Ave, Chicago, Illinois |
| Phone Number | 7737617171 |
| Fax Number | 7737616714 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1306063631 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | 2440 W Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606594113 |
| Phone Number | 7737617171 |
| Fax Number | 7737616714 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 019-016111 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19016111 | IL | -- |
Post Comment/ Review Below
What is the Steven Herzog's unique identification number?
The Steven Herzog has been assigned the NPI (National Provider Identifier) Number 1306063631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Steven Herzog is geographically located?
The Steven Herzog is physically situated at the following location: 2440 W Peterson Ave, Chicago, IL, 606594113.
What is Steven Herzog's specialized field of practice, and what is the corresponding taxonomy classification code?
The Steven Herzog's area of specialization is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 204E00000X.
When did Steven Herzog receive its 1306063631 assignment?
The Steven Herzog was assigned its 1306063631 on 2007-04-19, which is the date when this unique identifier was issued to the organization.
When was the Steven Herzog's information last updated?
The Steven Herzog's information was last updated on 2019-12-16.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC