Individual
STEVEN BRADLEY OVERPECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1100 ESSINGTON RD STE 2, JOLIET, IL 60435-8418
(815) 730-8200
(815) 730-8360
Mailing address
1100 ESSINGTON RD STE 2, JOLIET, IL 60435-8418
(815) 730-8200
(815) 730-8360
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005-111
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932510
BCBS
IL
01
—
P00692690
RAILROAD MEDICARE
IL
Enumeration date
07/27/2006
Last updated
06/17/2009
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