Stephen R Humowiecki, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036053573 Issued in IL

Practice address

1100 Lake St
Suite 210
Oak Park, IL 60301-1015

Phone

(708) 848-4188

Fax

(708) 524-2142

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Wholistic Health Center of Oak Park, Inc.

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1639281967
  NPD (past) Authorized official
• Rush Presbyterian St. Lukes Medical Center

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1154370005

  Family Medicine

  NPD (past)
• West Suburban Hospital Medical Center

  • Skilled Nursing Facility
  • Oak Park, IL
  • NPI 1538206974
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1477533560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST",
            "address_2": "SUITE 210",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011015",
            "telephone_number": "708-848-4188",
            "fax_number": "708-524-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST",
            "address_2": "SUITE 210",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011015",
            "telephone_number": "708-848-4188",
            "fax_number": "708-524-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMOWIECKI",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036053573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01615849",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053572",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khouri Hughes, LMT
• Julia M Hulcher, MD
• Annette Marie Hulefeld, D.MIN, LCSW
• Teri Hull, PH.D.
• Leeann Hulteen, P.T.
• Gladys Gloria Ann Hunt
• Helen Hunt
• Thomas M. Hunt, OPA-C
• Rachel Hunter
• Tanaii Hunter, LCSW

• Family Medicine Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.