Provider Demographics
NPI:1487698577
Name:STEINBERG, NICOLE LAUFER (DPT)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LAUFER
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 S WABASH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2113
Mailing Address - Country:US
Mailing Address - Phone:312-646-1000
Mailing Address - Fax:312-224-2537
Practice Address - Street 1:850 S WABASH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2113
Practice Address - Country:US
Practice Address - Phone:312-646-1000
Practice Address - Fax:312-224-2537
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070015766174400000X
NY0258251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209881OtherBAL. CTR MEDIC. GROUP NO.
IL236963283001OtherBA. CTR OF IL. MEDICAID
IL363396874OtherTAX ID
IL01634372OtherBAL. CTR OF IL BCBS NO.
IL200573902OtherBALANCE CTR OF IL. TAX ID
IL210877OtherMEDICARE GROUP NO,
IL1618443OtherBCBS GROUP NO
IL1618443OtherBCBS GROUP NO
IL209881OtherBAL. CTR MEDIC. GROUP NO.