Provider Demographics
NPI:1669562880
Name:VALFER, STEVEN IRVING (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:IRVING
Last Name:VALFER
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 1:60 REVERE DR
Mailing Address - Street 2:SUITE 750
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1563
Mailing Address - Country:US
Mailing Address - Phone:847-272-7777
Mailing Address - Fax:847-272-7709
Practice Address - Street 1:60 REVERE DR
Practice Address - Street 2:SUITE 750
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1563
Practice Address - Country:US
Practice Address - Phone:847-272-7777
Practice Address - Fax:847-272-7709
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC38269Medicare UPIN
ILK01121Medicare ID - Type Unspecified