Individual
STEVEN M ANNEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 346-5354
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 346-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36069308
—
IL
Enumeration date
08/09/2006
Last updated
07/08/2007
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