Provider Demographics
NPI:1386975712
Name:STEINITZ, HUGO R (MD)
Entity type:Individual
Prefix:DR
First Name:HUGO
Middle Name:R
Last Name:STEINITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3865 N MULFORD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-5603
Mailing Address - Country:US
Mailing Address - Phone:815-399-2190
Mailing Address - Fax:815-399-5543
Practice Address - Street 1:3865 N MULFORD RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-5603
Practice Address - Country:US
Practice Address - Phone:815-399-2190
Practice Address - Fax:815-399-5543
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036072030207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036072030Medicaid
IL214298001Medicare PIN