Individual
STEVEN BOYCE COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-6631
(630) 933-4936
Mailing address
900 JORIE BLVD, STE 220, OAK BROOK, IL 60523-2213
(630) 645-9900
(630) 645-9910
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
036065689
IL
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
036065689
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065689
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147022
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/20/2006
Last updated
03/17/2018
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