Stephen T Jagielo DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021-001523 Issued in IL

Legal business name

STEPHEN T JAGIELO DDS PC

Practice address

4913 Main St
Downers Grove, IL 60515-3612

Phone

(630) 969-4441

Fax

(630) 969-4480

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen T Jagielo, DDSNPI 1225114622

Title

President

Phone

(630) 969-4441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Thomas Jagielo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Downers Grove, IL
  • NPI 1225114622
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1841581436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153612",
            "telephone_number": "630-969-4441",
            "fax_number": "630-969-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153612",
            "telephone_number": "630-969-4441",
            "fax_number": "630-969-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN T JAGIELO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "JAGIELO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-969-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021-001523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Steigerwald
• Donald J Steiner, MD
• Michael Steinken, MD
• Madison Stepen, LCSW
• Stephen Labbie PHD & Assciates
• Rachel Sternberg, DVM
• Tasia Stewart
• Stillwater Counseling and Coaching LLC
• Jessica Morgan Stivers, CRNA
• Alison Faye Stock, O.D.

• Oral and Maxillofacial Surgery (Dentist) in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.