Provider Demographics
NPI:1730186586
Name:PECTOR, STEVEN N (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:N
Last Name:PECTOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3583
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60011-3583
Mailing Address - Country:US
Mailing Address - Phone:847-895-3583
Mailing Address - Fax:847-895-3632
Practice Address - Street 1:2257 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3891
Practice Address - Country:US
Practice Address - Phone:847-895-3583
Practice Address - Fax:847-895-3632
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036081040207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036081040Medicaid
IL036081040Medicaid
ILE84660Medicare UPIN
ID208779Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER