Active NPI
Steven R Evelhoch, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 036170882
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-0001 - Phone
- (309) 624-4012
- Fax
- (309) 624-3323
- NPI assigned
- Dec 21, 2006
- Last updated
- Apr 14, 2026
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 58017 | MN | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 43784 | TN | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 036170882 | IL | Primary |
| Otolaryngology Physician | 207Y00000X | 42940-20 | WI | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9125 | TN | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | S16 | MN | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 08452 | IA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 37013 | IA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 37013 | IA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 43784 | TN | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3558 | WI |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 624-4012
Other practice location 1
752 N High Point Rd
Madison, WI 53717
Phone (608) 824-4000
Other practice location 2
855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3680
Other practice location 3
545 E Johnson St
Fond Du Lac, WI 54935-2856
Phone (920) 924-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Creighton University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000
530 Neglen Oak Ave
Peoria, IL 61637-0001
Phone (309) 624-8818
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3558 | WI | MD | Chiropractor |
| 08452 | IA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 9125 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
| 036170882 | IL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| S16 | MN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 43784 | TN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Minnesota Oral and Facial Surgery PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Winona Health Services | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Karen Potaczek, D.D.S., P.C. | Oral & Maxillofacial Surgery | Past | Accepting new patients |
| Allendale County Hospital Board | Past | Accepting new patients | |
| Dental Associates LTD of Wisconsin | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Dental Assosiates | Past | Accepting new patients | |
| Renew Cosmetic and Reconstructive Surgery, PC | Plastic and Reconstructive Surgery | Past | Accepting new patients |
| Illinios Valley Oral Surgeons, P.C. | Past | Accepting new patients | |
| Lakes Regional Oral & Maxillofacial Surgery, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Oral & Maxillofacial Surgery Assoc PC | Past | Accepting new patients |
Locations
2380 Troop Dr
Unit 202
Sartell, MN 56377
Phone (320) 257-9555
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1000 N Oak Ave
Ste 100
Marshfield, WI 54449
Phone (715) 221-8718
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Oral and Maxillofacial Surgery (Dentist)
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-
- General Acute Care Hospital
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-
dba Physical Medicine & Rehabilitation
- Physical Medicine & Rehabilitation Physician
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-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Oral and Maxillofacial Surgery (Dentist)
- Spencer, IA
- NPI 1760637185
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Oral and Maxillofacial Surgery Clinic/Center
- Peru, IL
- NPI 1598974651
-
dba Laffitte & Warren Medical Center
- Rural Health Clinic/Center
- Allendale, SC
- NPI 1407906878
-
- Endodontics
- Wauwatosa, WI
- NPI 1518266998
Oral and Maxillofacial Surgery
-
- Dental Clinic/Center
- Fond Du Lac, WI
- NPI 1558710269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1972667160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616370001",
"telephone_number": "309-624-4012",
"fax_number": "309-624-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616370001",
"telephone_number": "309-624-4012",
"fax_number": "309-624-3323"
}
],
"practiceLocations": [
{
"address_1": "752 N High Point Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "53717",
"country_code": "US",
"telephone_number": "608-824-4000",
"fax_number": "608-824-4868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 Mankato Ave",
"address_purpose": "LOCATION",
"city": "Winona",
"state": "MN",
"postal_code": "559874868",
"country_code": "US",
"telephone_number": "507-454-3680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 E Johnson St",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549352856",
"country_code": "US",
"telephone_number": "920-924-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVELHOCH",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MN",
"license": "58017",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TN",
"license": "43784",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "IL",
"license": "036170882",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "42940-20",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "9125",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MN",
"license": "S16",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IA",
"license": "08452",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "IA",
"license": "37013",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IA",
"license": "37013",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TN",
"license": "43784",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WI",
"license": "3558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.