Provider Demographics
NPI:1306849252
Name:KACEL, STEVEN NEAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NEAL
Last Name:KACEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 LAKE COOK RD
Mailing Address - Street 2:STE 107
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1450
Mailing Address - Country:US
Mailing Address - Phone:847-498-4415
Mailing Address - Fax:847-498-4496
Practice Address - Street 1:1535 LAKE COOK RD
Practice Address - Street 2:STE 107
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1450
Practice Address - Country:US
Practice Address - Phone:847-498-4415
Practice Address - Fax:847-498-4496
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist