Organization Active NPI

John E. Stopka M.D. S.C.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1093008427
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JOHN E. STOPKA M.D. S.C.
Practice address
6918 W Archer Ave
Chicago, IL 60638-2337
Phone
(773) 586-4700
Fax
(773) 586-4711
NPI assigned
May 18, 2011
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Dr. John Stopka, M.D.
Title
Doctor
Phone
(773) 586-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

6918 W Archer Ave
Chicago, IL 60638-2337

Mailing address

6918 W Archer Ave
Chicago, IL 60638-2337
Phone (773) 586-4700

National Provider Directory

National Provider Directory

Locations

6918 W Archer Ave
Chicago, IL 60638
Phone (773) 586-2233

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1093008427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382337",
            "telephone_number": "773-586-4700",
            "fax_number": "773-586-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382337",
            "telephone_number": "773-586-4700",
            "fax_number": "773-586-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. STOPKA M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "STOPKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "773-586-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.