Stephen Sanofsky, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

036114542 Issued in IL

Practice address

2001 Butterfield Rd
Suite 100
Downers Grove, IL 60515-1050

Phone

(630) 322-9126

Fax

(630) 995-7965

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.sanofsky.mvc@directaddress.net

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

• Canton Aultman Emergency Physicians Inc

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1801832381
  NPD

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1144225319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-322-9126",
            "fax_number": "630-995-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-322-9126",
            "fax_number": "630-995-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANOFSKY",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35063661",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036114542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandhu Traders Inc
• Sandhu Traders Inc
• Sang H Suh, M.D. S.C.
• Linda Sangalli, DDS
• Stacey A Sanicki
• Annais Antoinette Santiago, MD
• Marshelle M Santoro, RN IBCLC
• Ericah Charity Saoudi
• Rebecca Ann Saour, APRN, CNP
• Jennifer Sapko, MS, RD, LDN, CLC

• Phlebology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Phlebology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.