Stanley Balowas M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

36071723 Issued in IL

Legal business name

STANLEY BALOWAS M.D.

Practice address

3902 W Diversey Ave
Chicago, IL 60647-1021

Phone

(773) 283-7535

NPI assigned

Feb 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley Bialowas, M.D.

Title

President

Phone

(773) 283-7535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455408000000",
    "number": "1043679400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471021",
            "telephone_number": "773-283-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY BALOWAS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-14",
        "last_updated": "2016-02-14",
        "status": "A",
        "authorized_official_last_name": "BIALOWAS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-283-7535",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "36071723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Vladimir Stanisic
• Todd M Stankewicz, R.PH.
• Joanna Stankiewicz, M.D.
• Kate Hannah Cole Stankiewicz, M.D.
• Nicole Stankus
• Alyssa Janae Stanley
• Ava H Stanley, M.D.
• James Stanley
• Joshua S Stanley
• Karen Stanley, OT

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.