Provider Demographics
NPI:1851327498
Name:RICHARD CW STEINBERG MD SC
Entity Type:Organization
Organization Name:RICHARD CW STEINBERG MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C W
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-577-1101
Mailing Address - Street 1:1100 W CENTRAL ROAD
Mailing Address - Street 2:#305
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2466
Mailing Address - Country:US
Mailing Address - Phone:847-577-1101
Mailing Address - Fax:847-577-1103
Practice Address - Street 1:1100 W CENTRAL ROAD
Practice Address - Street 2:#305
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2466
Practice Address - Country:US
Practice Address - Phone:847-577-1101
Practice Address - Fax:847-577-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036053360207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
21608204OtherBCBS
IL612090Medicare PIN
D89403Medicare UPIN