Provider Demographics
NPI:1033150651
Name:PALIAKAS, STEVEN T (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:T
Last Name:PALIAKAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S COUNTY FARM RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4523
Mailing Address - Country:US
Mailing Address - Phone:630-588-9200
Mailing Address - Fax:630-668-6663
Practice Address - Street 1:301 S COUNTY FARM RD
Practice Address - Street 2:SUITE E
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4523
Practice Address - Country:US
Practice Address - Phone:630-588-9200
Practice Address - Fax:630-668-6663
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILV04612Medicare UPIN
ILK18996Medicare ID - Type Unspecified
ILK17697Medicare ID - Type Unspecified