Active NPI
Vladimir Stalev, REGISTERED SA
- Surgical Technologist
- Chicago, IL
National Provider Identifier
1114356557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238.000203
- Practice address
- 5978 N Lincoln Ave Apt 2C
Chicago, IL 60659-3747 - Phone
- (847) 415-2850
- NPI assigned
- Nov 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238.000203 | IL | Primary |
Addresses
Primary practice location
5978 N Lincoln Ave Apt 2C
Chicago, IL 60659-3747
Mailing address
5978 N Lincoln Ave Apt 2C
Chicago, IL 60659-3747
Phone (847) 415-2850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000203 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1114356557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5978 N LINCOLN AVE APT 2C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593747",
"telephone_number": "847-415-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5978 N LINCOLN AVE APT 2C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593747",
"telephone_number": "847-415-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEV",
"first_name": "VLADIMIR",
"credential": "REGISTERED SA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238.000203",
"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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.