Provider Demographics
NPI:1588774038
Name:STEINECKER, PATRICIA H (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:H
Last Name:STEINECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HARGER RD
Mailing Address - Street 2:SUITE 515
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1805
Mailing Address - Country:US
Mailing Address - Phone:630-574-0410
Mailing Address - Fax:630-574-0447
Practice Address - Street 1:1200 HARGER RD
Practice Address - Street 2:SUITE 515
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1805
Practice Address - Country:US
Practice Address - Phone:630-574-0410
Practice Address - Fax:630-574-0447
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036054102207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL110016025OtherPALMETTO GBA RR MEDICARE
IL036054102Medicaid
IL21609125OtherBCBS OF ILLINOIS
IL21629125OtherBCBS OF ILLINOIS
IL110057103OtherPALMETTO GBA RR MEDICARE
IL651661Medicare ID - Type Unspecified
IL21609125OtherBCBS OF ILLINOIS
IL110057103OtherPALMETTO GBA RR MEDICARE