Basic Information
Provider Information
NPI: 1932427879
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEELE
FirstName: ADAM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 W MONROE ST STE 1200
Address2:  
City: CHICAGO
State: IL
PostalCode: 606032420
CountryCode: US
TelephoneNumber: 3127339730
FaxNumber: 7738668014
Practice Location
Address1: 4200 S EAST ST
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462271534
CountryCode: US
TelephoneNumber: 3179917600
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/15/2010
LastUpdateDate: 06/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X01072293AINY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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