Organization Active NPI

Paul M Stec DDS LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Olympia Fields, IL
National Provider Identifier
1396820601
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PAUL M STEC DDS LTD
Practice address
3700 W 203Rd St
Ste 215
Olympia Fields, IL 60461-1019
Phone
(708) 747-1700
Fax
(708) 747-3924
NPI assigned
Oct 26, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Paul M Stec, DDS
Title
President
Phone
(708) 747-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X IL Primary

Addresses

Primary practice location

3700 W 203Rd St
Ste 215
Olympia Fields, IL 60461-1019

Mailing address

3700 W 203Rd St
Ste 215
Olympia Fields, IL 60461-1019
Phone (708) 747-1700

National Provider Directory

National Provider Directory

Locations

3700 W 203rd St
Ste 215
Olympia Flds, IL 60461
Phone (708) 747-1700

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1396820601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST",
            "address_2": "STE 215",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611019",
            "telephone_number": "708-747-1700",
            "fax_number": "708-747-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST",
            "address_2": "STE 215",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611019",
            "telephone_number": "708-747-1700",
            "fax_number": "708-747-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M STEC DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "STEC",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-747-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.