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Organization
STEVEN J. DEANGELES, M.D., S.C.
Active
Organization
STEVEN J. DEANGELES, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J DEANGELES MD (PHYSICIAN OWNER)
(312) 922-2500
Entity
Organization
Contact information
Practice address
200 S MICHIGAN AVE, SUITE 830, CHICAGO, IL 60604-2402
(312) 922-2500
(312) 922-2523
Mailing address
200 S MICHIGAN AVE, SUITE 830, CHICAGO, IL 60604-2402
(312) 922-2500
(312) 922-2523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635312
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
12/20/2005
Last updated
08/28/2013
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