Steven Tyler Cullen, M.D.
Individual provider Active NPI Emergency Medicine Physician · Peru, IL
NPI 1518933860 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1518933860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Practice address
- 925 West St
Peru, IL 61354-2757 - Phone
- (815) 223-3300
- NPI assigned
- Feb 27, 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Past | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Yes |
Addresses
Primary practice location
925 West St
Peru, IL 61354-2757
Mailing address
900 N Kingsbury St
Apt 1166
Chicago, IL 60610-7453
Phone (312) 644-3444
Other providers in Peru, IL
- Amy Gail Corsolini
- James Miguel Covington
- Cpo Services, Inc
- Cpo Services, Inc
- Creating Change Counseling Center LLC
- Thomas M Curry
- John M Curtin
- David J Coynik, MD,PC
- Dina Lunken DDS, PC
- Tina Marie Dominy
All providers in Peru, IL · Emergency Medicine 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 Jul 8, 2007. 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.