Powell, Steven Brian

Powell, Steven Brian is an individual health care provider with primary practice located at 1653 W Congress Pkwy Murdock 622, Chicago IL 60612-3833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Powell, Steven Brian can be contacted via phone (312) 942-6640.

Contact Information

Primary practice address
1653 W Congress Pkwy Murdock 622 Chicago IL 60612-3833
Phone: (312) 942-6640
Fax: (312) 942-4370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-111991 Illinois

Profile Details

NPI number 1295778694
LBN Legal business name Powell, Steven Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 7th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295778694 NPPES
Illinois MEDICAID 036-111991

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