Provider Demographics
NPI:1740454404
Name:STEEB, LINDA (DO)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:STEEB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:636 RAYMOND DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9789
Mailing Address - Country:US
Mailing Address - Phone:630-355-5302
Mailing Address - Fax:630-922-2028
Practice Address - Street 1:636 RAYMOND DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9789
Practice Address - Country:US
Practice Address - Phone:630-355-5302
Practice Address - Fax:630-922-2028
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036128562208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL620540OtherMEDICARE PTAN GROUP
IL920540OtherMEDICARE PTAN GROUP
ILF400267764OtherMEDICARE PTAN (INDIVIDUAL)
IL036.128562Medicaid
ILF400267764OtherMEDICARE PTAN INDIVIDUAL