Marcie L Stoshak-Chavez, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-076424 Issued in IL

Practice address

836 W Wellington Ave
Department of Emergency Medicine, Aimmc
Chicago, IL 60657-5147

Phone

(773) 296-7054

Fax

(773) 296-7818

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1427087030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WESLEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022908",
            "telephone_number": "708-660-0885",
            "fax_number": "708-660-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE, AIMMC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7054",
            "fax_number": "773-296-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOSHAK-CHAVEZ",
        "first_name": "MARCIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-076424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryann Lynn Storey, MSW, LSW
• Paul A Storrs, M.D.
• Gina Lee Storti, LCSW
• Sarah Storto
• Jaclyn S Story, LCSW
• Milena Stosic, M.D.
• Monika Stoskute
• Valentina Stosor, MD
• Nada Logan Stotland, M.D., M.P.H.
• Ashley Stotts, OTR/L

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.