Provider Demographics
NPI:1962686600
Name:STEINBERG, RICHARD CHARLES WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CHARLES WILLIAM
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 W. CENTRAL ROAD
Mailing Address - Street 2:SUITE 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:SUITE 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
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36-053360207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21608204OtherBLUE CROSS/BLUE SHIELD
ILD89403Medicare UPIN
ILK49330Medicare PIN