Individual
STEVEN E. MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Mailing address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
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
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