Steven Andrew Archibald, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Chicago, IL
NPI 1083657134 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1083657134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036-104696 (IL)
- Practice address
- 401 E. Ontario St.
#4601
Chicago, IL 60611-4444 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1167 | MN | MD | Registered Dietitian |
| 239553 | NY | MD | Licensed Practical Nurse |
| 35262 | AZ | MD | Diagnostic Radiology Physician |
| G87697 | CA | MD | Diagnostic Radiology Physician |
| M9531 | ID | MD | Diagnostic Radiology Physician |
| 036-104696 | IL | MD | Diagnostic Radiology Physician |
| 01061626A | IN | MD | Diagnostic Radiology Physician |
| 4301087103 | MI | MD | Diagnostic Radiology Physician |
| 2006-00472 | NC | MD | Diagnostic Radiology Physician |
| TM2006-0017 | NM | MD | Diagnostic Radiology Physician |
| 25.000057 | OH | MD | Diagnostic Radiology Physician |
| MD428455 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Lafayette Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-104696 | IL | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 35262 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | G87697 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | M9531 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | 01061626A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 4301087103 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 1167 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | TM2006-0017 | NM | |
| Diagnostic Radiology Physician | 2085R0202X | 239553 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 2006-00472 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 25.000057 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | MD428455 | PA |
Addresses
Primary practice location
401 E. Ontario St.
#4601
Chicago, IL 60611-4444
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
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- Tonika Michelle Archer
- Virginia Parker Archer
- Ernesto Archeval
- Michael Archie
- Vanessa Claire Archil
- Jayde Laree Archuleta
- Daniel Archundia
- Rosibell Del Carmen Arcia-Diaz
All providers in Chicago, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.