Active NPI
Ronald H Stefani Jr MD Facs SC
- Plastic Surgery Physician
- Lombard, IL
National Provider Identifier
1750612743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036-071336
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-071336 | Other | IL | IL LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Lombard, IL
- NPI 1205821733
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.