DR. M.D. Dominick J Stella, NPI 1932163623
Interventional Cardiology Physician in Palos Park, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1932163623
NPI Entity Type Individual
Provider Name DR. M.D. Dominick J Stella
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 13011 S 104th Ave Ste 100, Palos Park, IL, US
Provider Mailing Address 13011 S 104th Ave Ste 100, Palos Park, IL, US, 604641508
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RI0011X

Taxonomy Name Interventional Cardiology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 036095778
License State IL
Description An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Business Address

DR. M.D. Dominick J Stella
13011 S 104th Ave Ste 100

Palos Park, IL, US

Phone: 708-274-3278
Fax: 708-274-3299

Mailing Address

DR. M.D. Dominick J Stella
13011 S 104th Ave Ste 100
Palos Park, IL, US
ZIP 604641508
Phone: 708-478-3600
Fax: 708-478-3552

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RC0000X

Allopathic & Osteopathic Physicians

Internal Medicine

036095778 IL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
036095778 IL MEDICAID 05
01621208 IL BLUECROSS BLUE SHIELD 01
236551 IL MEDICARE GROUP 01
CD8033 IL RAILROAD MEDICARE GROUP PTAN NUMBER 01
060069036 IL RAILROAD MEDICARE COOK 01
1508810086 IL HEART CARE CENTERS OF ILLINOIS GROUP NPI 01
236550 IL MEDICARE GROUP 01
CG1672 IL RAILROAD MEDIARE GROUP PTAN NUMBER 01
P00311979 IL RAILROAD MEDICARE KANKAKE 01
416810 IL MEDICARE GROUP 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 13011 S 104th Ave Ste 100, Palos Park, IL, US

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