Individual
STEVEN E. MAYER
Active
Individual
STEVEN E. MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-114944
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036-114944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-114944
—
IL
01
—
206147
MEDICARE GROUP PTAN
IL
01
—
206147174
MEDICARE INDVIDUAL PTAN
IL
01
—
P01131078
RR MEDICARE
IL
Enumeration date
04/20/2006
Last updated
01/22/2018
Update your record
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