Active NPI
Stella Anozie, M.D.
- Occupational Medicine Physician
- Crystal Lake, IL
National Provider Identifier
1720130966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 036-110463
- Practice address
- 578 Glenbrook Rd
Crystal Lake, IL 60012-3782 - Phone
- (847) 483-4469
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 61429-20 | WI | |
| Occupational Medicine Physician | 2083X0100X | 036-110463 | IL | Primary |
Addresses
Primary practice location
578 Glenbrook Rd
Crystal Lake, IL 60012-3782
Mailing address
578 Glenbrook Rd
Crystal Lake, IL 60012-3782
Phone (847) 483-4469
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 |
|---|---|---|---|
| 61429-20 | WI | MD | Internal Medicine Physician |
| 036-110463 | IL | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755388800000",
"number": "1720130966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 GLENBROOK RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600123782",
"telephone_number": "847-483-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 GLENBROOK RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600123782",
"telephone_number": "847-483-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANOZIE",
"first_name": "STELLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2025-08-17",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "61429-20",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IL",
"license": "036-110463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.