Basic Information
Provider Information
NPI: 1689820409
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAHN
FirstName: STEVEN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1322 S PRAIRIE AVE UNIT 1401
Address2:  
City: CHICAGO
State: IL
PostalCode: 606053080
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 259 E ERIE ST STE 100
Address2:  
City: CHICAGO
State: IL
PostalCode: 606112930
CountryCode: US
TelephoneNumber: 3129269512
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/12/2008
LastUpdateDate: 04/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XAN5240394-1815ILN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X01087343AINN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X036.122218ILY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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