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Individual

STEVEN WILLIAM IMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-148377
IL
207L00000X
Anesthesiology Physician
63609
WI
207L00000X
Anesthesiology Physician
MD-44184
IA

Other

Enumeration date
05/06/2013
Last updated
09/11/2023
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