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Individual
DR. STEVEN PATRICK NASH
Active
Individual
DR. STEVEN PATRICK NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122247
IL
208000000X
Pediatrics Physician
Primary
036122247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036122247
—
IL
01
—
1033149844
CDPG GROUP NPI
IL
01
—
363149833
CDPG TAX IDENTIFICAITON NUMBER
IL
01
—
3631498336019001
HFS GROUP PAYEE ID
IL
01
—
482450
MEDICARE GROUP PTAN
IL
Enumeration date
06/30/2008
Last updated
12/21/2021
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