Basic Information
| Provider Information | |||||||||
| NPI: | 1124275128 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GARZON | ||||||||
| FirstName: | STEVEN | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 840 S WOOD ST STE 130 | ||||||||
| Address2: | DEPARTMENT OF PATHOLOGY MC 847 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606124325 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 840 S WOOD ST STE 130 | ||||||||
| Address2: | DEPARTMENT OF PATHOLOGY MC 847 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606124325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129967312 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2008 | ||||||||
| LastUpdateDate: | 12/07/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0213X | 036-118176 | IL | Y | Allopathic & Osteopathic Physicians | Pathology | Pediatric Pathology |
No ID Information.