Steven Herzog, DDS, MS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. His current practice location is
2440 W Peterson Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 761-7171.
Steven Herzog is licensed to practice in Illinois (license number 019-016111) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1306063631.
Healthcare Provider's Profile
Full Name | Steven Herzog |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2440 W Peterson Ave, Chicago, Illinois |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Steven Herzog attended and graduated from in
NPI Data:
- NPI Number: 1306063631
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 12/16/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Steven Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306063631 | NPI | - | NPPES |
019016111 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019-016111 (Illinois) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 019-016111 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Steven Herzog is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Steven Herzog, DDS, MS 2440 W Peterson Ave, Chicago, IL 60659-4113 Ph: (773) 761-7171 | Steven Herzog, DDS, MS 2440 W Peterson Ave, Chicago, IL 60659-4113 Ph: (773) 761-7171 |
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