Active NPI
Courtney Jean Stefanski, M.D.
- Physical Medicine & Rehabilitation Physician
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036149824
- Practice address
- 26W171 Roosevelt Rd
Wheaton, IL 60187-6002 - Phone
- (630) 909-8000
- NPI assigned
- Apr 29, 2015
- Last updated
- Aug 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | 036149824 | IL | Primary |
Addresses
Primary practice location
26W171 Roosevelt Rd
Wheaton, IL 60187-6002
Mailing address
225 W Huron St
Apt 309
Chicago, IL 60654-3903
Phone (847) 804-8161
Other practice location 1
240 E Huron St
Suite 1-200
Chicago, IL 60611-2909
Phone (312) 503-7579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rush Medical College of Rush University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1725 W Harrison St
Suite 118
Chicago, IL 60612-3817
Phone (312) 942-8905
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036149824 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 118
Chicago, IL 60612
Phone (312) 942-4817
75 Remittance Dr
Dept 1611
Chicago, IL 60675
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Physical Medicine & Rehabilitation
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Chicago, IL
- NPI 1316711096
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1992570402
Inpatient rehabilitation facility
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1215314174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W HURON ST",
"address_2": "APT 309",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543903",
"telephone_number": "847-804-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26W171 ROOSEVELT RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601876002",
"telephone_number": "630-909-8000"
}
],
"practiceLocations": [
{
"address_1": "240 E Huron St",
"address_2": "Suite 1-200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112909",
"country_code": "US",
"telephone_number": "312-503-7579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFANSKI",
"first_name": "COURTNEY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036149824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.