Provider Demographics
NPI:1649400300
Name:STEINBERG, DOUGLAS ANDREW (AUD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ANDREW
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3557 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2360
Mailing Address - Country:US
Mailing Address - Phone:847-676-4327
Mailing Address - Fax:847-586-9166
Practice Address - Street 1:3557 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2360
Practice Address - Country:US
Practice Address - Phone:478-676-4327
Practice Address - Fax:847-586-9166
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001315231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist