Michael S Stosich, DMD,MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019.028558 Issued in IL

Practice address

1275 E Belvidere Rd
Suite 100
Grayslake, IL 60030-2082

Phone

(847) 548-4200

Fax

(847) 548-4527

NPI assigned

Sep 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366724502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E BELVIDERE RD",
            "address_2": "SUITE 100",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E BELVIDERE RD",
            "address_2": "SUITE 100",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302082",
            "telephone_number": "847-548-4200",
            "fax_number": "847-548-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554 Greenbay Rd",
            "address_2": "Unit E",
            "address_purpose": "LOCATION",
            "city": "Kenilworth",
            "state": "IL",
            "postal_code": "600436004",
            "country_code": "US",
            "telephone_number": "224-408-2200",
            "fax_number": "224-408-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOSICH",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019.028558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elizabeth Stewart
• Allison Stickney
• Margaret A Stohner, LCSW
• William R. Storino, DPM
• Jacqueline H Story-Remer
• Siiri Strebel
• Natasha Isis Striegel, BA
• Kaitlin Ryan Strollo, MS CAS
• Kathleen Strott
• Maribeth Struebing, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.