Active NPI
Stees Dermatology SC
- MOHS-Micrographic Surgery Physician
- Dixon, IL
National Provider Identifier
1487361218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- STEES DERMATOLOGY SC
- Practice address
- 215 E 1St St Ste 305
Dixon, IL 61021-3190 - Phone
- (815) 285-5484
- Fax
- (815) 285-5486
- NPI assigned
- Nov 1, 2022
- Last updated
- Nov 1, 2022
- 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
- Dr. Marc A Stees, MD
- Title
- Owner
- Phone
- (815) 285-5484
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | NU | Primary |
Addresses
Primary practice location
215 E 1St St Ste 305
Dixon, IL 61021-3190
Mailing address
215 E 1St St Ste 305
Dixon, IL 61021-3190
Phone (815) 285-5484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
215 E 1st St
Ste 305
Dixon, IL 61021
Phone (815) 285-5484
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1487361218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E 1ST ST STE 305",
"city": "DIXON",
"state": "IL",
"postal_code": "610213190",
"telephone_number": "815-285-5484",
"fax_number": "815-285-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 1ST ST STE 305",
"city": "DIXON",
"state": "IL",
"postal_code": "610213190",
"telephone_number": "815-285-5484",
"fax_number": "815-285-5486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEES DERMATOLOGY SC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "STEES",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-285-5484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.