Organization Active NPI

Ronald H Stefani Jr MD Facs SC

  • Plastic Surgery Physician
  • Lombard, IL
National Provider Identifier
1750612743
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036-071336 Issued in IL
Legal business name
RONALD H STEFANI JR MD FACS SC
Practice address
629 S Main St
Lombard, IL 60148-3341
Phone
(630) 495-1000
Fax
(630) 495-8545
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald H Stefani Jr., M.D.NPI 1205821733
Title
Owner/Physician
Phone
(630) 495-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 036-071336 IL Primary

Addresses

Primary practice location

629 S Main St
Lombard, IL 60148-3341

Mailing address

629 S Main St
Lombard, IL 60148-3341
Phone (630) 495-1000

Other identifiers 1

IdentifierTypeStateIssuer
036-071336OtherILIL LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

629 S Main St
Lombard, IL 60148
Phone (630) 495-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1750612743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483341",
            "telephone_number": "630-495-1000",
            "fax_number": "630-495-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483341",
            "telephone_number": "630-495-1000",
            "fax_number": "630-495-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD H STEFANI JR MD FACS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "STEFANI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "630-495-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-071336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE NUMBER",
            "identifier": "036-071336",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.