Stephen a. Madry, MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036090205 Issued in IL

Legal business name

STEPHEN A. MADRY, MD SC

Practice address

810 Biesterfield Rd # 308
Elk Grove VLG, IL 60007-7312

Phone

(847) 382-9902

Fax

(847) 640-6831

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Stephen A Madry, M.D.NPI 1578637138

Title

President

Phone

(847) 382-9902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen A Madry, M.D.

  • Surgical Physician Assistant
  • Elk Grove Village, IL
  • NPI 1578637138

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1184939571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BIESTERFIELD RD # 308",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600077312",
            "telephone_number": "847-382-9902",
            "fax_number": "847-640-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BIESTERFIELD RD # 308",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600077312",
            "telephone_number": "847-382-9902",
            "fax_number": "847-640-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. MADRY, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "MADRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-382-9902",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036090205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Sally
• Karina Atul Shah
• Puja Shah
• Ayla Noor Shakir
• Rick W Stephani, MD
• Brian Tegtmeyer
• Luisa Tovar
• United 1 Transportation
• Mark Weisberg
• Stefan Wereminski, CSFA

• Specialist in Elk Grove VLG, IL
• Providers in Elk Grove VLG, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.