Active NPI
Mark Steveson
- Anesthesiology Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036063443
- Practice address
- 660 N Westmoreland Rd
Lake Forest, IL 60045-1659 - Phone
- (847) 535-6100
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 22547-20 | WI | |
| Anesthesiology Physician | 207L00000X | 036063443 | IL | Primary |
Addresses
Primary practice location
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Mailing address
925 Sherwood Dr
Lake Bluff, IL 60044-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036063443 | IL | MD | Anesthesiology Physician |
| 22547-20 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Racine Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
Dept 5777
Carol Stream, IL 60122
660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1346259447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 SHERWOOD DR",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 N WESTMORELAND RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451659",
"telephone_number": "847-535-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVESON",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "22547-20",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036063443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.