Provider Demographics
NPI:1295791168
Name:BUJEWSKI, STEVEN JOHN
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOHN
Last Name:BUJEWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 EASTSIDE RD
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-9800
Mailing Address - Country:US
Mailing Address - Phone:773-775-2180
Mailing Address - Fax:773-775-8996
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 418
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-775-2180
Practice Address - Fax:773-775-8996
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-082940207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1621149OtherBLUE SHIELD PROVIDER NUMB
ILF19582Medicare UPIN
ILL60150Medicare PIN