Provider Demographics
NPI:1063559946
Name:STEVEN T. ADELSTEIN, DPM, LTD.
Entity type:Organization
Organization Name:STEVEN T. ADELSTEIN, DPM, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ADELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-310-8100
Mailing Address - Street 1:1585 N BARRINGTON RD STE 305
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-5019
Mailing Address - Country:US
Mailing Address - Phone:847-310-8100
Mailing Address - Fax:847-310-8156
Practice Address - Street 1:1585 N BARRINGTON RD STE 305
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-5019
Practice Address - Country:US
Practice Address - Phone:847-310-8100
Practice Address - Fax:847-310-8156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004913213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016004913Medicaid
IL5424120001Medicare NSC
IL211532Medicare ID - Type UnspecifiedMEDICARE
ILU78525Medicare UPIN