Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639860786 Deactivated / Inactive NPI Male Practitioner

Steven D Black , QIDP

Case Manager/Care Coordinator • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Steven Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 18, 2023
NPI Deactivation Date February 12, 2026
Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

Steven Black, QIDP was a registered Case Manager/Care Coordinator practicing in Chicago, IL. Throughout an active medical career spanning 3 years, Steven Black provided care at the practice location at 6639 N KEDZIE AVE until profile deactivation on 2026-02-12.

Practice Location & Contact Primary Location

Practice Address

6639 N Kedzie Ave

Chicago, IL 606454161

Telephone 3127306710
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
180 Specialists

Practicing in Chicago, IL (1146 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Elizabeth Stradinger , OT

Occupational Therapist

NPI 1033602321

Occupational Therapist

Laura Barkenquast , DSP

Community/Behavioral Health

NPI 1053003624
Berenice Miranda

Social Worker

NPI 1104691740
Kelsey Walsh , OTR

Occupational Therapist

NPI 1144021643

Occupational Therapist Registered

NPI 1144103987

Doctor of Occupational Therapy, Occupational Therapist Registered

Dena Bermann , LMFT

Marriage & Family Therapist

NPI 1164086591

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 12, 2026

Record deactivated on February 12, 2026

NPI Profile Active May 18, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2023

Registered at 6639 N KEDZIE AVE, CHICAGO, IL 606454161 (Tel: 3127306710)

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Updated Business Mailing Address May 18, 2023

Registered at 6639 N KEDZIE AVE, CHICAGO, IL 606454161 (Tel: 3127306710)

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Provider Name / Credentials Updated May 18, 2023

Recorded as STEVEN BLACK, QIDP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2023

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration May 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639860786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2023
Last Update: May 18, 2023
Deactivation Date: February 12, 2026

Mailing Address

6639 N Kedzie Ave

Chicago, IL 606454161

Phone: 3127306710

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.