Provider Demographics
NPI:1043716863
Name:STEGER SMILES PC
Entity Type:Organization
Organization Name:STEGER SMILES PC
Other - Org Name:STEGER SMILES FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ABHISHEK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-384-9493
Mailing Address - Street 1:950 N CLARK ST UNIT I
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-8702
Mailing Address - Country:US
Mailing Address - Phone:312-384-9493
Mailing Address - Fax:
Practice Address - Street 1:3112 UNION AVE
Practice Address - Street 2:
Practice Address - City:STEGER
Practice Address - State:IL
Practice Address - Zip Code:60475-1166
Practice Address - Country:US
Practice Address - Phone:708-754-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190299751223G0001X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty