Individual
MR. STEVEN MICHAEL PRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
275 PARKWAY DR STE 521, LINCOLNSHIRE, IL 60069-4344
(847) 459-6400
(847) 459-4610
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.001436
IL
363AM0700X
Medical Physician Assistant
085001436
IL
363AS0400X
Surgical Physician Assistant
085001436
IL
Other
Enumeration date
01/03/2007
Last updated
03/28/2024
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