| Richard J. Steslow, D.o. | |
|
2020 Ogden Ave. Suite 400 Aurora IL 60504-4386 | |
| (630) 236-4300 | |
| (630) 236-4302 |
| Full Name | Richard J. Steslow, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Ogden Ave., Aurora, Illinois |
| Authorized Official Name and Position | Richard J Steslow (OWNER/PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 6302364300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Steslow, D.o. 2020 Ogden Ave. Suite 400 Aurora IL 60504-4386 Ph: (630) 236-4300 | Richard J. Steslow, D.o. 2020 Ogden Ave. Suite 400 Aurora IL 60504-4386 Ph: (630) 236-4300 |
| NPI Number | 1306066097 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 11/09/2016 |
| Medicare PECOS PAC ID | 0244209641 |
|---|---|
| Medicare Enrollment ID | O20041001000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306066097 | NPI | - | NPPES |
| 9915169 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036085042 (Illinois) | Primary |
| Provider Name | Richard J Steslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306980743 PECOS PAC ID: 7416926811 Enrollment ID: I20041004000027 |
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