Antonini, Steven John

Antonini, Steven John is an individual health care provider with primary practice located at 21205 Owens Rd Ste 3 , Mokena IL 60448-2023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Antonini, Steven John can be contacted via phone (815) 469-2123.

Contact Information

Primary practice address
21205 Owens Rd Ste 3 Mokena IL 60448-2023
Phone: (815) 469-2123
Fax: (815) 469-2149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-076951 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036076951 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036076951 Illinois

Profile Details

NPI number 1114004652
LBN Legal business name Antonini, Steven John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114004652 NPPES
Illinois Other 09915014 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036076951 BLUE CROSS BLUE SHIELD
Illinois Other 649420 BLUE CROSS BLUE SHIELD

Popular Providers