Destefano&Stamat Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DESTEFANO&STAMAT PEDIATRICS

Practice address

7550 W College Dr
Suite B
Palos Heights, IL 60463-1026

Phone

(708) 923-6262

Fax

(708) 923-6868

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Penny Stamat

Title

Office Manager

Phone

(708) 923-6262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicholas Stanley Stamat, M.D.

  • Pediatrics Physician
  • Palos Heights, IL
  • NPI 1548278963
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1275726564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W COLLEGE DR",
            "address_2": "SUITE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631026",
            "telephone_number": "708-923-6262",
            "fax_number": "708-923-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W COLLEGE DR",
            "address_2": "SUITE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631026",
            "telephone_number": "708-923-6262",
            "fax_number": "708-923-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTEFANO&STAMAT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "STAMAT",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-923-6262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069672",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Derani, MD
• Dermatology Associates LTD
• Dermatology Associates of Illinois, S.C.
• Ravi Desai, DO
• Jyotsna P Deshpande, OTR/L
• Kiran Dhillon, M.D.
• Chirag A Dholakia, M.D.
• Michele Dillon, M.S.
• Dimitrios Kotsopulos, D.P.M., P.C.
• Bridget Ann Dine, PA-C

• Pediatrics Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.