Stanley Anthony Polit, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036064603 Issued in IL

Practice address

2850 West 95TH Street
Suite 11
Evergreen Park, IL 60805

Phone

(708) 424-9044

Fax

(708) 424-1799

NPI assigned

Aug 13, 2006

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

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1164435293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 83RD AVENUE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627007",
            "telephone_number": "708-460-9346",
            "fax_number": "708-424-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WEST 95TH STREET",
            "address_2": "SUITE 11",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-424-9044",
            "fax_number": "708-424-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIT",
        "first_name": "STANLEY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064603",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036064603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Pendergast
• Dimitra Petrakos, RDH
• Daniel Philipsborn, M.D.
• Terese Marie Pikula, PTA
• Toya Pink
• Robert J. Pooley Jr., M.D.
• Shauntrese Porch, RN
• Michelle A Potempa
• Thomas Vincent Powell Jr., DDS
• Dora Alexandra Prah

• Gastroenterology Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.