NPIMap

Organization Active NPI

Elaine G. Stolis,D.D.S. & Associates

  • General Practice Dentistry
  • Palos Hills, IL
National Provider Identifier
1164687588
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018155 Issued in IL
Legal business name
ELAINE G. STOLIS,D.D.S. & ASSOCIATES
Practice address
8114 W 111TH St
Palos Hills, IL 60465-2206
Phone
(708) 974-9550
NPI assigned
Jul 24, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Elaine G. Stolis, D.D.S.NPI 1639334188
Title
President
Phone
(708) 974-9550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019018155 IL Primary

Addresses

Primary practice location

8114 W 111TH St
Palos Hills, IL 60465-2206

Mailing address

8114 W 111TH St
Palos Hills, IL 60465-2206
Phone (708) 974-9550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1164687588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE G. STOLIS,D.D.S. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "STOLIS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-974-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.