Individual
MARK J STEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
2160 S FIRST AVE, (EMS BLDG., RM. 2700), MAYWOOD, IL 60153
(708) 327-2700
(708) 327-3474
Mailing address
2160 S FIRST AVE, (EMS BLDG., RM. 2700), MAYWOOD, IL 60153
(708) 327-2700
(708) 327-3474
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
019016766
IL
208600000X
Surgery Physician
036075892
IL
Other
Enumeration date
11/07/2006
Last updated
05/13/2021
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