Provider Demographics
NPI:1366782138
Name:STEELE, SHAWN M (CST/CSFA)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:M
Last Name:STEELE
Suffix:
Gender:M
Credentials:CST/CSFA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:900 RAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2359
Mailing Address - Country:US
Mailing Address - Phone:847-324-3976
Mailing Address - Fax:847-929-1154
Practice Address - Street 1:720 FLORSHEIM DR
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3757
Practice Address - Country:US
Practice Address - Phone:847-247-4000
Practice Address - Fax:847-234-2090
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist