Basic Information
Provider Information
NPI: 1770535445
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINETTE
FirstName: STEVEN
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1860 PAYSHERE CIR
Address2:  
City: CHICAGO
State: IL
PostalCode: 606742673
CountryCode: US
TelephoneNumber: 6304699200
FaxNumber:  
Practice Location
Address1: 471 W ARMY TRAIL RD
Address2: SUITE 103
City: BLOOMINGDALE
State: IL
PostalCode: 601082673
CountryCode: US
TelephoneNumber: 6309803366
FaxNumber: 6309803686
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 04/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X036-071458ILY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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