Individual
DR. STEVEN H. PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD., DANVILLE, IL 61832-4360
(217) 477-4748
(217) 444-4966
Mailing address
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD., DANVILLE, IL 61832-4360
(217) 477-4748
(217) 444-4966
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036094806
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036094806
BCBS OF ILLINOIS
IL
05
—
036094806
—
IL
01
—
282792
HEALTH ALLIANCE
—
Enumeration date
08/30/2006
Last updated
01/06/2015
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