Active NPI
Stefanie Spanier, M.D.
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
National Provider Identifier
1548291578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036084045
- Practice address
- 1725 W Harrison St
Suite 710
Chicago, IL 60612-3841 - Phone
- (312) 942-3034
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-084045 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036084045 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 710
Chicago, IL 60612-3841
Mailing address
5611 Doral Dr
Sarasota, FL 34243-3840
Phone (708) 646-7413
Other practice location 1
101 Avenue O SE
Winter Haven, FL 33880-4333
Phone (863) 294-7010
Other names 1
- Stefanie Spanier-Mingolelli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-084045 | IL | MD | Pediatrics Physician |
| 036084045 | IL | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1548291578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5611 DORAL DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342433840",
"telephone_number": "708-646-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 710",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-3034"
}
],
"practiceLocations": [
{
"address_1": "101 Avenue O SE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338804333",
"country_code": "US",
"telephone_number": "863-294-7010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPANIER",
"first_name": "STEFANIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-084045",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036084045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "SPANIER-MINGOLELLI",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.