Sheryl N Stagl, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036066238 Issued in IL

Practice address

467 W Deming
Childrens Primary Care Suite 600
Chicago, IL 60014

Phone

(773) 327-9125

Fax

(773) 327-0419

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lurie Children'S Medical Group Inc

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1518064716
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992765051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W DEMING",
            "address_2": "CHILDRENS PRIMARY CARE SUITE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "773-327-9125",
            "fax_number": "773-327-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W DEMING",
            "address_2": "CHILDRENS PRIMARY CARE SUITE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "773-327-9125",
            "fax_number": "773-327-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGL",
        "first_name": "SHERYL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036066238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Stage
• Ernestina Stagen
• David Blake Stagg, MD, PHD
• Patrick Stagg, P.A.
• Davia Staggers
• Shannon Stahl-Beery, ST
• Christiane Ellen Stahl, M.D.
• Jeff J Stahl, LCPC
• Michelle Stahley, M.A., LCPC
• Kendyll Keenan Stahlin, DMD

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.