Michael M Stachowski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036062853 Issued in IL

Practice address

2850 W. 95TH St
Suite 210
Evergreen Park, IL 60805

Phone

(708) 499-2070

Fax

(708) 499-2248

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Locations

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.

• Little Company of Mary Affiliated Services Inc

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1588617260
  NPD
• Southwest Infectious Disease & Internal Medicine S C

  • Infectious Disease Physician
  • Palos Heights, IL
  • NPI 1447337548
  NPD (past)
• Southwest Rheumatology PC

  • Rheumatology Physician
  • Evergreen Park, IL
  • NPI 1205958923
  NPD (past)
• John V. Kelly MD, PC

  • Internal Medicine Physician
  • Bloomfield, NJ
  • NPI 1417065830
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1144267253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W. 95TH ST",
            "address_2": "SUITE 210",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-499-2070",
            "fax_number": "708-499-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W. 95TH ST",
            "address_2": "SUITE 210",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-499-2070",
            "fax_number": "708-499-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036062853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062853",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Rheumatology PC
• Southwest Urgent Care LTD
• Joaquim Spadoni Barboza, M.D.
• William H Spear, M.D.
• Lara Stachler
• Stanley a Polit MD, SC
• Theresa Rose Stark, LMT, BCTMB
• Laura Stecich
• Stellar Health Experts, PLLC
• Stellar Health Experts, PLLC

• Internal Medicine Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.