Nicholas G Stiso in La Grange Park - Internal Medicine
Nicholas G Stiso - NPI 1114928835
Nicholas G Stiso is a Internal Medicine in La Grange Park, Illinois. Nicholas G Stiso practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nicholas G Stiso is 1114928835. The last update date is 2016-03-10.
Nicholas G Stiso's current location address is Po Box 1152, La Grange Park, Illinois. You can contact this provider via phone number 7083521202 and fax number 7083527311. The mailing address for Nicholas G Stiso is Po Box 1152, La Grange Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas G Stiso |
|---|---|
| Address | Po Box 1152, La Grange Park, Illinois |
| Phone Number | 7083521202 |
| Fax Number | 7083527311 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114928835 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2016-03-10 |
Provider Mailing Address Detail
| Address | Po Box 1152 |
|---|---|
| City | La Grange Park |
| State | Illinois (IL) |
| Post Code | 605269252 |
| Phone Number | 7083521202 |
| Fax Number | 7083527311 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 036-072335 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110084980 | IL | RAILROAD MEDICARE | |
| 31604458 | IL | BLUE CROSS BLUE SHIELD | |
| 36072335 | IL | -- | |
| 950150135 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nicholas G Stiso by the Centers for Medicare & Medicaid Services?
The Nicholas G Stiso has been issued the NPI (National Provider Identifier) 1114928835, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Nicholas G Stiso's facilities are geographically located?
The facilities of Nicholas G Stiso are physically situated at the following location: Po Box 1152, La Grange Park, IL, 605269252.
What is Nicholas G Stiso's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicholas G Stiso is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114928835 to Nicholas G Stiso?
The Centers for Medicare & Medicaid Services originally issued the 1114928835 to Nicholas G Stiso on 2005-08-03.
When was the information regarding Nicholas G Stiso most recently updated?
The details pertaining to the Nicholas G Stiso, including its address, specialty, and other relevant information, were last refreshed on 2016-03-10.
NPI Number: 1518961176
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