Provider Demographics
NPI:1447355946
Name:HOOVER-STEINWART, LISA MICHELLE
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MICHELLE
Last Name:HOOVER-STEINWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 BRIARCLIFF ROAD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-2901
Mailing Address - Country:US
Mailing Address - Phone:630-892-5250
Mailing Address - Fax:
Practice Address - Street 1:1411 SOUTH BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-9055
Practice Address - Country:US
Practice Address - Phone:630-553-2200
Practice Address - Fax:630-553-2200
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000482231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL368410Medicare ID - Type Unspecified