Provider Demographics
NPI:1760448096
Name:STRYKER, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:STRYKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5501 W 79TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-1784
Mailing Address - Country:US
Mailing Address - Phone:773-884-4523
Mailing Address - Fax:773-884-4580
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 1525
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-943-5427
Practice Address - Fax:312-266-0478
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-10-01
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Provider Licenses
StateLicense IDTaxonomies
IL208C00000X208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL160005023OtherRAILROAD MEDICARE
IL036058963Medicaid
IL0001621690OtherBLUE SHIELD
IL0001621690OtherBLUE SHIELD
C37732Medicare UPIN