Stellar Orthotics and Prosthetics, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

213000062 Issued in IL

Legal business name

STELLAR ORTHOTICS AND PROSTHETICS, LLC

Practice address

2401 Ravine Way Ste 301
Glenview, IL 60025-7645

Phone

(847) 410-2751

Fax

(847) 410-2758

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Sy Rosen, C.O.NPI 1043278138

Title

General Manager

Phone

(847) 410-2751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sy H Rosen, C.O.

  • Orthotist
  • Skokie, IL
  • NPI 1043278138
  NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1083837488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RAVINE WAY STE 301",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257645",
            "telephone_number": "847-410-2751",
            "fax_number": "847-410-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RAVINE WAY STE 301",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257645",
            "telephone_number": "847-410-2751",
            "fax_number": "847-410-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR ORTHOTICS AND PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "SY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "847-410-2751",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "213000062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Stein
• Maryann Joyce Stein, PTA
• Nicole Christine Steineke, MD
• Sarah Beth Steinmetz
• Stellar Bodytherapy, LTD.
• Ariel Stepankovskaya
• Stephanie a Ross Licensed Clinical Psychologist PC
• Stephen Yeh M.D., S.C.
• Ruth Sterlin, LCSW
• Sterling Home Health Care, Inc.

• Customized Equipment (DME) in Glenview, IL
• Providers in Glenview, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.