Individual
DR. STEVEN PATRICK NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
636 RAYMOND DR, NAPERVILLE, IL 60563-9789
(630) 355-5302
(630) 778-6088
Mailing address
636 RAYMOND DR, NAPERVILLE, IL 60563-9789
(630) 355-5302
(630) 778-6088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122247
IL
208000000X
Pediatrics Physician
Primary
036122247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036122247
—
IL
01
—
1033149844
CDPG GROUP NPI
IL
01
—
363149833
CDPG TAX IDENTIFICAITON NUMBER
IL
01
—
3631498336019001
HFS GROUP PAYEE ID
IL
01
—
482450
MEDICARE GROUP PTAN
IL
Enumeration date
06/30/2008
Last updated
12/21/2021
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