Elaine Gloria Stolis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018155 Issued in IL

Practice address

8114 W 111TH St
Palos Hills, IL 60465-2206

Phone

(708) 974-9550

NPI assigned

Jul 24, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 19, 2020 through Mar 19, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Elaine G. Stolis,D.D.S. & Associates

  • General Practice Dentistry
  • Palos Hills, IL
  • NPI 1164687588
  NPD (past) Authorized official
• Khan & Zayyad Dental PLLC

  • General Practice Dentistry
  • Palos Hills, IL
  • NPI 1407681810
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1639334188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLIS",
        "first_name": "ELAINE",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.