Individual provider Active NPI

Stephen Scott Epner, MD

  • Internal Medicine Physician
  • Joliet, IL
National Provider Identifier
1114047115
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-072792 Issued in IL
Practice address
1051 Essington Rd
Suite 140
Joliet, IL 60435-2801
Phone
(815) 744-0808
Fax
(815) 744-7748
NPI assigned
Mar 31, 2007
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-072792 IL Primary

Addresses

Primary practice location

1051 Essington Rd
Suite 140
Joliet, IL 60435-2801

Mailing address

1051 Essington Rd.
Suite 140
Joliet, IL 60431
Phone (815) 744-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101223000264 IL Practitioner - Family Practice 3577751148 Reassigns benefits to 1 organization
I20191108001857 WI Practitioner - Internal Medicine 3577751148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-072792ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Apr 26, 2010 Accepting new patients
Pic Indiana PC CurrentSince Aug 16, 2016 Accepting new patients
Silver Cross Medical Associates, PC Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

750 Essington Rd
Joliet, IL 60435
Phone (815) 729-2160

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (815) 654-2300

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1114047115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD.",
            "address_2": "SUITE 140",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60431",
            "telephone_number": "815-744-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD",
            "address_2": "SUITE 140",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352801",
            "telephone_number": "815-744-0808",
            "fax_number": "815-744-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPNER",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-072792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.