Individual provider · NPI-1
Steven R Evelhoch, MD
Oral & Maxillofacial Surgery · Peoria, IL
NPI number1972667160
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1972667160
- Entity type
- Individual (NPI-1)
- Name
- Steven R Evelhoch
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2006
- Certification date
- Apr 14, 2026
- Last updated
- Apr 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 036170882 | IL | Yes |
| 208200000X | Plastic Surgery | 58017 | MN | |
| 204E00000X | Oral & Maxillofacial Surgery | 43784 | TN | |
| 207Y00000X | Otolaryngology | 42940-20 | WI | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 9125 | TN | |
| 204E00000X | Oral & Maxillofacial Surgery | S16 | MN | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 08452 | IA | |
| 204E00000X | Oral & Maxillofacial Surgery | 37013 | IA | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 37013 | IA | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 43784 | TN | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 3558 | WI |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-624-4012 · Fax 309-624-3323
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-624-4012 · Fax 309-624-3323
Other practice locations
752 N High Point Rd
Madison, WI 53717
Madison, WI 53717
Phone 608-824-4000 · Fax 608-824-4868
545 E Johnson St
Fond Du Lac, WI 54935-2856
Fond Du Lac, WI 54935-2856
Phone 920-924-9090
855 Mankato Ave
Winona, MN 55987-4868
Winona, MN 55987-4868
Phone 507-454-3680
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