Provider Demographics
NPI:1295884104
Name:MEYERS, STEVEN F (MA)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:F
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N SKOKIE HWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1796
Mailing Address - Country:US
Mailing Address - Phone:547-965-6326
Mailing Address - Fax:847-965-6387
Practice Address - Street 1:11 N SKOKIE HWY
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1796
Practice Address - Country:US
Practice Address - Phone:547-965-6326
Practice Address - Fax:847-965-6387
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical