Individual
DR. STEVEN WILLIAM CHMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 LINCOLNWAY, SUITE 304, LA PORTE, IN 46350-3430
(219) 362-8523
(219) 324-9396
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01068434A
IN
208600000X
Surgery Physician
MT186958
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670831
ANTHEM BCBS
IN
05
—
200990880
—
IN
01
—
M400022212
MEDICARE PTAN
IN
Enumeration date
08/30/2007
Last updated
10/21/2011
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