SURESTEP NPI 1124464912

NPI Information

NPI: 1124464912
Provider Name: SURESTEP
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
471 BRIARGATE DR
SOUTH ELGIN, IL
ZIP 60177
Phone: (224) 535-8624
Get Directions

SURESTEP is an addiction medicine psychiatry neurology in South Elgin, IL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine SURESTEP NPI is 1124464912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

471 BRIARGATE DR
SOUTH ELGIN, IL
ZIP 60177-225
Phone: (224) 535-8624
Fax: (847) 429-2078

The provider's authorized official is Aaron Miller .
The authorized official title is Owner/physician and has the following contact phone number (224) 535-8624.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	036.131190	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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