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Individual

STEVEN P LOHEIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
210 PENNY AVE, EAST DUNDEE, IL 60118-1458
(847) 426-2333
Mailing address
210 PENNY AVE, EAST DUNDEE, IL 60118-1458
(847) 426-2333

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60100745
BCBS PROVIDER #
IL
Enumeration date
01/23/2007
Last updated
07/09/2007
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