Maria Estilo, MD
Individual provider Active NPI Interventional Pain Medicine Physician · Minooka, IL
NPI 1760439202 · NPPES record last updated Apr 24, 2015
Key facts
- NPI
- 1760439202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- 036100822 (IL)
- Practice address
- 603 W Mondamin St
Minooka, IL 60447-9057 - Phone
- (815) 941-1522
- Fax
- (815) 941-1523
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Pain Management
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1802 N Division St
Suite 505
Morris, IL 60450-1183
Phone (815) 941-1522
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
- Morris Hospital & Healthcare Centers
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050303000155 | IL | Practitioner - Interventional Pain Management |
9436102324 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr M Estilo Pain Management LLC | Pain Medicine | Current |
Accepting new patients |
| Chicago Spine and Joint, S.C. | Interventional Pain Medicine | Past | Accepting new patients |
Locations
603 W Mondamin St
Minooka, IL 60447
Phone (815) 521-1010
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1802 N Division St
Ste 505
Morris, IL 60450
Phone (815) 941-1522
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036100822 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036100822 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 036100822 | IL | Yes |
Addresses
Primary practice location
603 W Mondamin St
Minooka, IL 60447-9057
Mailing address
1802 N Division St
Suite 505
Morris, IL 60450-1182
Phone (815) 941-1522
Other providers in Minooka, IL
- Dental Professionals of Illinois, P.C.
- Dr M Estilo Pain Management LLC
- Lester Duldulao
- Roxanne Marie Dyers
- Lorisa Marie Eby
- Evolve Therapeutic Center
- Robert James Flynn
- Deborah E Franchi
- Jason Freeman
- Jason E Gall
All providers in Minooka, IL · Interventional Pain Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.