Provider Demographics
NPI:1760826960
Name:STEELE HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:STEELE HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-336-1985
Mailing Address - Street 1:401 N RIVERSIDE DR
Mailing Address - Street 2:2A
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5907
Mailing Address - Country:US
Mailing Address - Phone:847-336-1985
Mailing Address - Fax:
Practice Address - Street 1:401 N RIVERSIDE DR
Practice Address - Street 2:2A
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5907
Practice Address - Country:US
Practice Address - Phone:847-336-1985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4092-7008332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies