Stacey Kathleen Sturgulewski, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147001169 Issued in IL

Practice address

5000 S 5TH Ave
Audiology and Speech - 126
Hines, IL 60141-3030

Phone

(708) 202-8387

Fax

(708) 202-5260

NPI assigned

Jan 30, 2007

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

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1992842181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 N 78TH CT",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071018",
            "telephone_number": "312-259-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "AUDIOLOGY AND SPEECH - 126",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387",
            "fax_number": "708-202-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGULEWSKI",
        "first_name": "STACEY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "147-001169",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana C Strohmaier, RD
• Eric James Strong, COMS
• Maria Anna Strus, M.D.
• Deborah Jean Strzok, LCSW
• Samantha Jo Stufflebam, LSW
• Jaime A Suber
• Janelle N Suber, MSW, LCSW
• Jennifer Marie Sulo, NP-C
• William A. P. Supan, M.D.
• Nicholas Super, PHARM.D.

• Audiologist in Hines, IL
• Providers in Hines, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.