Gary D Stuck, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036068905 Issued in IL

Practice address

4301 W 95TH Street
Oak Lawn, IL 60453-2670

Phone

(708) 425-5500

Fax

(708) 425-0771

NPI assigned

Jul 10, 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 1

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 Osteopathy

State licenses

Practice roles

Locations

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.

• Lawn Medical Center, S.C.

  • Family Medicine Physician
  • Oak Lawn, IL
  • NPI 1255357331
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1609800481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532670",
            "telephone_number": "708-425-5500",
            "fax_number": "708-425-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532670",
            "telephone_number": "708-425-5500",
            "fax_number": "708-425-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCK",
        "first_name": "GARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036068905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068905",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Duncan Stranz, MD
• Belinda Streegan, BS
• Allison Streeter
• Scott E Strote, M.D.
• Maggie Stuart, PHARMD
• Amanda A Stump, CPNP
• Robin Stupay, PHARMD
• Portia Nicole Sturdivant
• Joanna Sturnieks
• Olivia Victoria Suarez

• Family Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, 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 Jan 20, 2011; 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.