Provider Demographics
NPI:1811135536
Name:KARLA E.A. STEINGRABER PC
Entity type:Organization
Organization Name:KARLA E.A. STEINGRABER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, TREASURER, SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:EA
Authorized Official - Last Name:STEINGRABER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:301-633-4266
Mailing Address - Street 1:615 WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60043-1149
Mailing Address - Country:US
Mailing Address - Phone:301-633-4266
Mailing Address - Fax:847-251-3289
Practice Address - Street 1:615 WARWICK RD
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:IL
Practice Address - Zip Code:60043-1149
Practice Address - Country:US
Practice Address - Phone:301-633-4266
Practice Address - Fax:847-251-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007582261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1699800276OtherINDIVIDUAL NPI NUMBER FOR ME PERSONALLY