Provider Demographics
NPI:1932208923
Name:STEELBERG, CAROLINE E (PSYD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:E
Last Name:STEELBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE STE 1422
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3068
Mailing Address - Country:US
Mailing Address - Phone:312-444-1133
Mailing Address - Fax:312-444-1723
Practice Address - Street 1:111 N WABASH AVE STE 1422
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3068
Practice Address - Country:US
Practice Address - Phone:312-444-1133
Practice Address - Fax:312-444-1723
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.004969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01605968OtherBLUE CROSS BLUE SHIELD ID
IL201840Medicare ID - Type UnspecifiedMEDICARE PROVIDER #