Individual
STEVEN MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1880 W WINCHESTER RD, 101, LIBERTYVILLE, IL 60048-5321
(847) 281-9543
(847) 281-9615
Mailing address
1880 W WINCHESTER RD, 101, LIBERTYVILLE, IL 60048-5321
(847) 281-9543
(847) 281-9615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-070591
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036070591
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004930110
BCBS
IL
05
—
036070591
—
IL
01
—
050079760
RAILROAD MEDICARE
IL
01
—
111282
HEALTH PARTNERS
IL
Enumeration date
02/21/2006
Last updated
06/19/2024
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