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Individual
MRS. NICOLE LAUFER STEINBERG
Active
Individual
MRS. NICOLE LAUFER STEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
070015766
IL
225100000X
Physical Therapist
Primary
0258251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634372
BAL. CTR OF IL BCBS NO.
IL
01
—
1618443
BCBS GROUP NO
IL
01
—
200573902
BALANCE CTR OF IL. TAX ID
IL
01
—
209881
BAL. CTR MEDIC. GROUP NO.
IL
01
—
210877
MEDICARE GROUP NO,
IL
01
—
236963283001
BA. CTR OF IL. MEDICAID
IL
01
—
363396874
TAX ID
IL
Enumeration date
06/16/2006
Last updated
08/23/2010
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