Individual
STEPHEN J PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N. 1ST ST., SPRINGFIELD, IL 62702
(217) 528-7541
(217) 753-5854
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036-095441
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095441
—
IL
Enumeration date
08/30/2006
Last updated
05/20/2020
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