Active NPI
Robert E Stanley, MD
- Internal Medicine Physician
- Skokie, IL
National Provider Identifier
1770518946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036063978
- Practice address
- 9650 Gross Point Rd
Suite 1900
Skokie, IL 60076-1234 - Phone
- (847) 676-1112
- Fax
- (847) 674-3358
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036063978 | IL | Primary |
Addresses
Primary practice location
9650 Gross Point Rd
Suite 1900
Skokie, IL 60076-1234
Mailing address
9650 Gross Point Rd
Suite 1900
Skokie, IL 60076-1234
Phone (847) 676-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633513 | Other | BCBS |
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 |
|---|---|---|---|
| 036063978 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1770518946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD",
"address_2": "SUITE 1900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761234",
"telephone_number": "847-676-1112",
"fax_number": "847-674-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD",
"address_2": "SUITE 1900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761234",
"telephone_number": "847-676-1112",
"fax_number": "847-674-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036063978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01633513",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.