Basic Information
| Provider Information | |||||||||
| NPI: | 1962802660 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOU | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | PETER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 E OGDEN AVE # 193 | ||||||||
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| City: | WESTMONT | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605593506 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 13500 N MERIDIAN ST | ||||||||
| Address2: | |||||||||
| City: | CARMEL | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460321456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175827000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2014 | ||||||||
| LastUpdateDate: | 04/07/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 02005933A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.