Active NPI
Stefan Wereminski, CSFA
- Surgical Assistant
- Elk Grove VLG, IL
National Provider Identifier
1316563554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 555 Biesterfield Rd
Elk Grove VLG, IL 60007-3306 - Phone
- (847) 690-1776
- Fax
- (847) 690-1777
- NPI assigned
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
555 Biesterfield Rd
Elk Grove VLG, IL 60007-3306
Mailing address
1420 California Ave
Rolling Meadows, IL 60008-1168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1316563554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CALIFORNIA AVE",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600081168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BIESTERFIELD RD",
"city": "ELK GROVE VLG",
"state": "IL",
"postal_code": "600073306",
"telephone_number": "847-690-1776",
"fax_number": "847-690-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEREMINSKI",
"first_name": "STEFAN",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove VLG, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.