Active NPI
George L Stankevych MD PC
- Obstetrics & Gynecology Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GEORGE L STANKEVYCH MD PC
- Practice address
- 4119 W Shamrock LN
Suite 200
McHenry, IL 60050-8289 - Phone
- (815) 344-1611
- Fax
- (815) 344-1614
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Lane Stankevych, M.D.
- Title
- President
- Phone
- (815) 344-1611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
4119 W Shamrock LN
Suite 200
McHenry, IL 60050-8289
Mailing address
4119 W Shamrock LN
Suite 200
McHenry, IL 60050-8289
Phone (815) 344-1611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5600259 | Other | IL | BCBS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gstankevych288373@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4119 W Shamrock Ln
Ste 200
McHenry, IL 60050
Phone (815) 344-1611
4309 W Medical Center Dr
Ste B300
McHenry, IL 60050
Phone (815) 344-1611
Interoperability endpoints
- gstankevych288373@direct.myadvocateaurora.org
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- McHenry, IL
- NPI 1053312934
-
- Advanced Practice Midwife
- McHenry, IL
- NPI 1073744009
-
- Advanced Practice Midwife
- Chicago, IL
- NPI 1033569264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639958400000",
"number": "1376626952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 W SHAMROCK LN",
"address_2": "SUITE 200",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508289",
"telephone_number": "815-344-1611",
"fax_number": "815-344-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4119 W SHAMROCK LN",
"address_2": "SUITE 200",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508289",
"telephone_number": "815-344-1611",
"fax_number": "815-344-1614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE L STANKEVYCH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A",
"authorized_official_last_name": "STANKEVYCH",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "LANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-344-1611",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5600259",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gstankevych288373@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4119 W Shamrock Ln",
"address_2": "SUITE 200",
"city": "McHenry",
"state": "IL",
"country_code": "US",
"postal_code": "600508289",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4119 W Shamrock Ln",
"address_2": "SUITE 200",
"city": "McHenry",
"state": "IL",
"country_code": "US",
"postal_code": "600508289",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.