Individual provider Active NPI

Peter J Stecy, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1821036047
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036073386 Issued in IL
Practice address
3118 N Ashland Ave
Chicago, IL 60657-3014
Phone
(773) 880-9722
Fax
(773) 880-9723
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036073386 IL Primary

Addresses

Primary practice location

3118 N Ashland Ave
Chicago, IL 60657-3014

Mailing address

3118 N Ashland Ave
Chicago, IL 60657-3014
Phone (773) 880-9722

Other identifiers 2

IdentifierTypeStateIssuer
1487951711OtherILNPI
1602375OtherILBSBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000357 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022108612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
West Suburban Cardiologists, LTD. Cardiovascular Disease Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 21, 2011 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 21, 2011 Accepting new patients
Cardiac Diagnosis, LTD. Cardiovascular Disease Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

4901 W 79th St
Ste 7
Burbank, IL 60459
Phone (708) 233-5630

29373 Network Pl
Chicago, IL 60673

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

3118 N Ashland Ave
Chicago, IL 60657
Phone (773) 537-0077

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220

2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117

2740 W Foster Ave
Ste 101
Chicago, IL 60625
Phone (773) 334-3431

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

5201 Willow Springs Rd
Ste 280
La Grange Highlands, IL 60525
Phone (708) 354-2008

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1821036047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573014",
            "telephone_number": "773-880-9722",
            "fax_number": "773-880-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573014",
            "telephone_number": "773-880-9722",
            "fax_number": "773-880-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECY",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036073386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487951711",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC",
            "identifier": "1602375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.