Stanley Joseph Kovak, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036072273 Issued in IL

Practice address

1200 S York Rd
#4180
Elmhurst, IL 60126-5626

Phone

(630) 758-0470

Fax

(630) 758-0471

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Kovak Medical Services PC

  • Dermatology Physician
  • Oakbrook Terrace, IL
  • NPI 1699109363
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1598875320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W535 BUTTERFIELD RD",
            "address_2": "STE 100",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814010",
            "telephone_number": "708-453-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "#4180",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-758-0470",
            "fax_number": "630-758-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAK",
        "first_name": "STANLEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036072273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzma Mohammed Kothawala, MD
• Christine L Koutsky, NP
• Snezana Kovacevic
• Kovach Eye Institute, LTD
• Kevin J Kovach, M.D.
• George Koveshnikov
• Michael Kowal
• Lisa Kay Kracinski, APN
• David J Kraman, MD
• Jason Bradley Kramer, M.D.

• General Practice Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.